Basic Information
Provider Information
NPI: 1265664411
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALLING
FirstName: SARAH
MiddleName: ANN
NamePrefix:  
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: HOTTINGER
OtherFirstName: SARAH
OtherMiddleName: ANN
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: NP
OtherLastNameType: 1
Mailing Information
Address1: 1804 EMBARCADERO RD
Address2: STE 100
City: PALO ALTO
State: CA
PostalCode: 943033341
CountryCode: US
TelephoneNumber: 6504978000
FaxNumber:  
Practice Location
Address1: 725 WELCH RD
Address2:  
City: PALO ALTO
State: CA
PostalCode: 943041601
CountryCode: US
TelephoneNumber: 6504978000
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/20/2009
LastUpdateDate: 01/06/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LP0200XNP19136CAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics

No ID Information.


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