Provider Demographics
NPI:1114031366
Name:BARNETT, SARAH BETHANY (CRNP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:BETHANY
Last Name:BARNETT
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 449
Mailing Address - Street 2:
Mailing Address - City:ELKMONT
Mailing Address - State:AL
Mailing Address - Zip Code:35620-0449
Mailing Address - Country:US
Mailing Address - Phone:256-732-3712
Mailing Address - Fax:256-732-3714
Practice Address - Street 1:25442 ALABAMA HIGHWAY 127
Practice Address - Street 2:
Practice Address - City:ELKMONT
Practice Address - State:AL
Practice Address - Zip Code:35620
Practice Address - Country:US
Practice Address - Phone:256-732-3712
Practice Address - Fax:256-732-3714
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2015-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-092925363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL176937Medicaid
AL511-66559OtherBCBS