Provider Demographics
NPI:1962905752
Name:ADAIR, SARAH (FNP - BC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:ADAIR
Suffix:
Gender:F
Credentials:FNP - BC
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:KAHLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1102 W HAYDEN AVE STE B
Mailing Address - Street 2:
Mailing Address - City:HAYDEN
Mailing Address - State:ID
Mailing Address - Zip Code:83835-8700
Mailing Address - Country:US
Mailing Address - Phone:208-518-1003
Mailing Address - Fax:855-274-4521
Practice Address - Street 1:1102 W HAYDEN AVE STE B
Practice Address - Street 2:
Practice Address - City:HAYDEN
Practice Address - State:ID
Practice Address - Zip Code:83835-8700
Practice Address - Country:US
Practice Address - Phone:208-518-1003
Practice Address - Fax:855-274-4521
Is Sole Proprietor?:No
Enumeration Date:2018-03-17
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID71839363LF0000X
CO2018001180363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily