Provider Demographics
NPI:1386206647
Name:PHILLIPS, SARAH ALLEN (MSN, RN, APRN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:ALLEN
Last Name:PHILLIPS
Suffix:
Gender:F
Credentials:MSN, RN, APRN, FNP-C
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:ALLEN
Other - Last Name:HUDDLESTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:291 N FIREWEED ST
Mailing Address - Street 2:
Mailing Address - City:SOLDOTNA
Mailing Address - State:AK
Mailing Address - Zip Code:99669-7540
Mailing Address - Country:US
Mailing Address - Phone:907-262-6454
Mailing Address - Fax:
Practice Address - Street 1:240 HOSPITAL PL STE 204
Practice Address - Street 2:
Practice Address - City:SOLDOTNA
Practice Address - State:AK
Practice Address - Zip Code:99669-7559
Practice Address - Country:US
Practice Address - Phone:907-714-4120
Practice Address - Fax:844-412-3943
Is Sole Proprietor?:No
Enumeration Date:2019-07-07
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN26153363LF0000X
AK154048363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily