Provider Demographics
NPI:1538787478
Name:PERALES, SARAH EVELYN (MSN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:EVELYN
Last Name:PERALES
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:EVELYN
Other - Last Name:THOMPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:120 W ASHBY PL
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212-5838
Mailing Address - Country:US
Mailing Address - Phone:210-468-1891
Mailing Address - Fax:
Practice Address - Street 1:120 W ASHBY PL
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-5838
Practice Address - Country:US
Practice Address - Phone:210-468-1891
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1014888363L00000X
TX813590163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1014888OtherAPRN
TX813590OtherRN
TX813590OtherRN