Healthcare Provider Details

I. General information

NPI: 1114031366
Provider Name (Legal Business Name): SARAH BETHANY BARNETT CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 11/03/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25442 ALABAMA HIGHWAY 127
ELKMONT AL
35620
US

IV. Provider business mailing address

PO BOX 449
ELKMONT AL
35620-0449
US

V. Phone/Fax

Practice location:
  • Phone: 256-732-3712
  • Fax: 256-732-3714
Mailing address:
  • Phone: 256-732-3712
  • Fax: 256-732-3714

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-092925
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: