Provider Demographics
NPI:1083504088
Name:SADLER, AUDREY (APRN)
Entity type:Individual
Prefix:
First Name:AUDREY
Middle Name:
Last Name:SADLER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:AUDREY
Other - Middle Name:
Other - Last Name:LAUBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:204 N COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN HOME
Mailing Address - State:AR
Mailing Address - Zip Code:72653-3654
Mailing Address - Country:US
Mailing Address - Phone:870-424-4804
Mailing Address - Fax:501-500-6418
Practice Address - Street 1:204 N COLLEGE ST
Practice Address - Street 2:
Practice Address - City:MOUNTAIN HOME
Practice Address - State:AR
Practice Address - Zip Code:72653-3654
Practice Address - Country:US
Practice Address - Phone:870-424-4804
Practice Address - Fax:501-500-6418
Is Sole Proprietor?:No
Enumeration Date:2025-07-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2340552084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry