Individual
SARAH MULLERVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
2139 N 12TH ST STE 4, GRAND JUNCTION, CO 81501-2910
(970) 549-4660
Mailing address
242 N PLUM ST, FRUITA, CO 81521-2130
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
0001076
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1Z5982
MEDICARE-NORIDIAN
CO
Enumeration date
10/21/2021
Last updated
02/02/2022
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