Provider Demographics
NPI:1972348902
Name:FEYKO, SARAH
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:FEYKO
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 1:370 STONEWALL CT APT 5408
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-7996
Mailing Address - Country:US
Mailing Address - Phone:740-808-4674
Mailing Address - Fax:
Practice Address - Street 1:370 STONEWALL CT APT 5408
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-7996
Practice Address - Country:US
Practice Address - Phone:740-808-4674
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-01
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCF06242063363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner