Provider Demographics
NPI:1730901273
Name:FENLEY, SARAH KATHERINE (RN)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:KATHERINE
Last Name:FENLEY
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 1:581 STATE HIGHWAY 7 W
Mailing Address - Street 2:
Mailing Address - City:CENTER
Mailing Address - State:TX
Mailing Address - Zip Code:75935-5816
Mailing Address - Country:US
Mailing Address - Phone:936-590-1577
Mailing Address - Fax:
Practice Address - Street 1:304 EPPS ST
Practice Address - Street 2:
Practice Address - City:CENTER
Practice Address - State:TX
Practice Address - Zip Code:75935-1340
Practice Address - Country:US
Practice Address - Phone:936-598-7351
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX937304163WH0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0500XNursing Service ProvidersRegistered NurseHemodialysis