Provider Demographics
NPI:1811860828
Name:SIDLO, SARA MAY
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:MAY
Last Name:SIDLO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 S COLUMBIA AVE APT 7
Mailing Address - Street 2:
Mailing Address - City:SEWARD
Mailing Address - State:NE
Mailing Address - Zip Code:68434-2615
Mailing Address - Country:US
Mailing Address - Phone:402-540-4425
Mailing Address - Fax:
Practice Address - Street 1:700 S COLUMBIA AVE APT 7
Practice Address - Street 2:
Practice Address - City:SEWARD
Practice Address - State:NE
Practice Address - Zip Code:68434-2615
Practice Address - Country:US
Practice Address - Phone:402-540-4425
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-25
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion
No372500000XNursing Service Related ProvidersChore Provider