Provider Demographics
NPI:1215588348
Name:COPESTICK, SARAH HARTNEY (CRNA)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:HARTNEY
Last Name:COPESTICK
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Gender:F
Credentials:CRNA
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Mailing Address - Street 1:ADVENTHEALTH MEDICAL GROUP ANESTHESIOLOGY AT RIVERVIEW
Mailing Address - Street 2:9320 US HIGHWAY 301 S
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33578
Mailing Address - Country:US
Mailing Address - Phone:813-471-0000
Mailing Address - Fax:656-233-5024
Practice Address - Street 1:ADVENTHEALTH MEDICAL GROUP ANESTHESIOLOGY AT RIVERVIEW
Practice Address - Street 2:9320 US HIGHWAY 301 S
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33578
Practice Address - Country:US
Practice Address - Phone:813-471-0000
Practice Address - Fax:656-233-5024
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-20
Last Update Date:2024-10-11
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Provider Licenses
StateLicense IDTaxonomies
FLRN9409715163W00000X
FL11005434367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse