Provider Demographics
NPI:1154694974
Name:PLUMMER, SARAH E (RNFA, FNP-C)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:E
Last Name:PLUMMER
Suffix:
Gender:F
Credentials:RNFA, FNP-C
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:E
Other - Last Name:MARSTELLAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RNFA, FNP-C
Mailing Address - Street 1:PO BOX 910221
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-0221
Mailing Address - Country:US
Mailing Address - Phone:520-519-7700
Mailing Address - Fax:
Practice Address - Street 1:2625 N CRAYCROFT RD STE 200
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-2268
Practice Address - Country:US
Practice Address - Phone:520-416-5602
Practice Address - Fax:520-323-0076
Is Sole Proprietor?:No
Enumeration Date:2012-02-10
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP7298163WR0006X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant