Provider Demographics
NPI:1316680820
Name:CARVER, SARAH LYNN (PA-C)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:LYNN
Last Name:CARVER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12641 OLD GLENN HWY STE 201
Mailing Address - Street 2:
Mailing Address - City:EAGLE RIVER
Mailing Address - State:AK
Mailing Address - Zip Code:99577-7040
Mailing Address - Country:US
Mailing Address - Phone:907-726-0368
Mailing Address - Fax:907-726-0371
Practice Address - Street 1:12641 OLD GLENN HWY STE 201
Practice Address - Street 2:
Practice Address - City:EAGLE RIVER
Practice Address - State:AK
Practice Address - Zip Code:99577-7040
Practice Address - Country:US
Practice Address - Phone:907-726-0368
Practice Address - Fax:907-726-0371
Is Sole Proprietor?:No
Enumeration Date:2022-04-14
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2733363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant