Provider Demographics
NPI:1417718818
Name:BEATTY, SARABETH LYN (FNP)
Entity type:Individual
Prefix:MRS
First Name:SARABETH
Middle Name:LYN
Last Name:BEATTY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:802 W 8TH ST
Mailing Address - Street 2:
Mailing Address - City:KANNAPOLIS
Mailing Address - State:NC
Mailing Address - Zip Code:28081-2004
Mailing Address - Country:US
Mailing Address - Phone:980-680-8153
Mailing Address - Fax:
Practice Address - Street 1:802 W 8TH ST
Practice Address - Street 2:
Practice Address - City:KANNAPOLIS
Practice Address - State:NC
Practice Address - Zip Code:28081-2004
Practice Address - Country:US
Practice Address - Phone:980-680-8153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9494940363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily