Healthcare Provider Details

I. General information

NPI: 1255884805
Provider Name (Legal Business Name): SARAH COMBS CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH SEELBINDER RN

II. Dates (important events)

Enumeration Date: 08/01/2016
Last Update Date: 02/15/2023
Certification Date: 02/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 CLINCH AVE
KNOXVILLE TN
37916-2307
US

IV. Provider business mailing address

1305 WALT WHITMAN RD STE 300
MELVILLE NY
11747-4300
US

V. Phone/Fax

Practice location:
  • Phone: 865-541-1111
  • Fax:
Mailing address:
  • Phone: 516-946-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number21960
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN0000165492
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: