Provider Demographics
NPI:1649151317
Name:ZAMBRANO, SARA BETH (RN)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:BETH
Last Name:ZAMBRANO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:463 GALLAGHER DR
Mailing Address - Street 2:
Mailing Address - City:BENICIA
Mailing Address - State:CA
Mailing Address - Zip Code:94510-3919
Mailing Address - Country:US
Mailing Address - Phone:707-853-0789
Mailing Address - Fax:
Practice Address - Street 1:463 GALLAGHER DR
Practice Address - Street 2:
Practice Address - City:BENICIA
Practice Address - State:CA
Practice Address - Zip Code:94510-3919
Practice Address - Country:US
Practice Address - Phone:707-853-0789
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA595474163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse