Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | 22500 | CA |
N | 363LW0102X | Nurse Practitioner - Women's Health | 22500 | CA |
NPI | 1104178961 |
---|---|
Provider Name | Sarah Anne Erny |
First Address | Arroyo Grande, CA 93420-3117 |
Second Address | Arroyo Grande, CA 93420-3117 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2012 |
Last Update Date | 01/05/2020 |