Provider Demographics
NPI:1083866966
Name:WALSH, SARAH R (NP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:R
Last Name:WALSH
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:R
Other - Last Name:SLATER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:317 SEVEN SPRINGS WAY STE 203
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-4518
Mailing Address - Country:US
Mailing Address - Phone:615-739-5345
Mailing Address - Fax:615-864-8646
Practice Address - Street 1:317 SEVEN SPRINGS WAY STE 203
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-4518
Practice Address - Country:US
Practice Address - Phone:615-739-5345
Practice Address - Fax:615-864-8646
Is Sole Proprietor?:No
Enumeration Date:2008-10-22
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN13710363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1508693Medicaid