Healthcare Provider Details

I. General information

NPI: 1154694974
Provider Name (Legal Business Name): SARAH E PLUMMER RNFA, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH E MARSTELLAR RNFA, FNP-C

II. Dates (important events)

Enumeration Date: 02/10/2012
Last Update Date: 03/17/2022
Certification Date: 03/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2625 N CRAYCROFT RD STE 200
TUCSON AZ
85712-2268
US

IV. Provider business mailing address

PO BOX 910221
DALLAS TX
75391-0221
US

V. Phone/Fax

Practice location:
  • Phone: 520-416-5602
  • Fax: 520-323-0076
Mailing address:
  • Phone: 520-519-7700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License NumberAP7298
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP7298
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: