Provider Demographics
NPI:1902516537
Name:LEAR, SARAH RENEE (CNP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:RENEE
Last Name:LEAR
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2609 DUPREE CIR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78748-2803
Mailing Address - Country:US
Mailing Address - Phone:512-297-0726
Mailing Address - Fax:
Practice Address - Street 1:4112 LINKS LN
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-3901
Practice Address - Country:US
Practice Address - Phone:512-244-2273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-05
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1099945363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner