Provider Demographics
NPI:1962733279
Name:TROST, SARAH K (CNM)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:K
Last Name:TROST
Suffix:
Gender:F
Credentials:CNM
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 720006
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73070-4006
Mailing Address - Country:US
Mailing Address - Phone:405-762-0909
Mailing Address - Fax:
Practice Address - Street 1:1411 W 7TH AVE STE 202
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:OK
Practice Address - Zip Code:74074-4300
Practice Address - Country:US
Practice Address - Phone:405-624-8222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-26
Last Update Date:2020-03-04
Deactivation Date:2010-07-27
Deactivation Code:
Reactivation Date:2013-10-14
Provider Licenses
StateLicense IDTaxonomies
OK65155367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife