Provider Demographics
NPI:1043020886
Name:SARRIS, STYLIANI (RN, IBCLC)
Entity type:Individual
Prefix:
First Name:STYLIANI
Middle Name:
Last Name:SARRIS
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:STYLIANI
Other - Middle Name:
Other - Last Name:SUMMERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:137 PALOMINO DR
Mailing Address - Street 2:
Mailing Address - City:KING
Mailing Address - State:NC
Mailing Address - Zip Code:27021-8840
Mailing Address - Country:US
Mailing Address - Phone:205-919-4122
Mailing Address - Fax:
Practice Address - Street 1:137 PALOMINO DR
Practice Address - Street 2:
Practice Address - City:KING
Practice Address - State:NC
Practice Address - Zip Code:27021-8840
Practice Address - Country:US
Practice Address - Phone:205-919-4122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALL-311317163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant