Provider Demographics
NPI:1699660563
Name:BERNSTEIN RHODES, SARA MARIE
Entity type:Individual
Prefix:MRS
First Name:SARA
Middle Name:MARIE
Last Name:BERNSTEIN RHODES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 165
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:UT
Mailing Address - Zip Code:84528-0165
Mailing Address - Country:US
Mailing Address - Phone:435-630-9518
Mailing Address - Fax:
Practice Address - Street 1:923 9TH ST
Practice Address - Street 2:
Practice Address - City:ALAMOGORDO
Practice Address - State:NM
Practice Address - Zip Code:88310-6431
Practice Address - Country:US
Practice Address - Phone:575-488-2720
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7670754-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily