Individual
SARA MICAH EDDLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
848 ADAMS AVE, MEMPHIS, TN 38103-2816
(866) 870-5570
Mailing address
1593 MCKENAS WAY CV, HERNANDO, MS 38632-2203
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
899452
MS
367500000X
Certified Registered Nurse Anesthetist
Primary
27765
TN
367500000X
Certified Registered Nurse Anesthetist
974810-01
NY
Other
Enumeration date
04/19/2020
Last updated
03/24/2026
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