Provider Demographics
NPI:1316418635
Name:MERTZ, SARAH (FNP)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:
Last Name:MERTZ
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:VICKERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8720 STARGAZER DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-2137
Mailing Address - Country:US
Mailing Address - Phone:817-933-1869
Mailing Address - Fax:
Practice Address - Street 1:3591 MCKINNEY ST STE 400
Practice Address - Street 2:
Practice Address - City:MELISSA
Practice Address - State:TX
Practice Address - Zip Code:75454-9504
Practice Address - Country:US
Practice Address - Phone:972-464-1611
Practice Address - Fax:972-913-6216
Is Sole Proprietor?:No
Enumeration Date:2018-12-14
Last Update Date:2018-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP139433363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAP139433OtherTEXAS BOARD OF NURSING