Provider Demographics
NPI:1134220692
Name:BROWN, SARAH (ARNP-C)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:ARNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3216 JOHN ANDERSON DR
Mailing Address - Street 2:
Mailing Address - City:ORMOND BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32176-2210
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2001 E MADISON ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-2959
Practice Address - Country:US
Practice Address - Phone:206-328-6887
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2024-12-04
Deactivation Date:2024-11-13
Deactivation Code:
Reactivation Date:2024-11-18
Provider Licenses
StateLicense IDTaxonomies
ID78584363L00000X
AZ282273363L00000X
KY4013759363L00000X
WAAP61318253363L00000X
IN71014095A363L00000X
OH0036102363L00000X
FL9185928363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner