Healthcare Provider Details

I. General information

NPI: 1891603510
Provider Name (Legal Business Name): SARAH HASEL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20601 WEST PAOLI LANE
WEIMAR CA
95736
US

IV. Provider business mailing address

9 RISING SUN RD
COLFAX CA
95713-9842
US

V. Phone/Fax

Practice location:
  • Phone: 530-422-7920
  • Fax:
Mailing address:
  • Phone: 423-244-5032
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number95435425
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: