Healthcare Provider Details

I. General information

NPI: 1912829326
Provider Name (Legal Business Name): SARAH INEZ MAUSER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

604 MAPLE ST
CROSSETT AR
71635-3518
US

IV. Provider business mailing address

604 MAPLE ST
CROSSETT AR
71635-3518
US

V. Phone/Fax

Practice location:
  • Phone: 870-415-7397
  • Fax:
Mailing address:
  • Phone: 870-415-7397
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number122921
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: