Doctor Name: | SARAH R WALSH |
NPI Number: | 1083866966 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | APN13710 |
Business Practice Address: | 2121 North Locust Ave Suite 1 Lawrenceburg, TN - 384644454 |
Business Phone Number: | 9317625988 |
Business Fax Number: | 9317623389 |
Mailing Address: | 2121 North Locust Ave, Suite 1 LAWRENCEBURG |
State: | TN |
Postal Code: | 384644454 |
Phone Number: | 9317625988 |
Fax Number: | 9317623389 |
NPI Enumeration Date: | 10/22/2008 |
NPI Last Update Date: | 08/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | APN13710 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |