Healthcare Provider Details

I. General information

NPI: 1174876031
Provider Name (Legal Business Name): SARAH SEXTON WALTERS C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH LEE SEXTON APRN

II. Dates (important events)

Enumeration Date: 10/17/2012
Last Update Date: 03/15/2022
Certification Date: 03/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 CHILDREN'S WAY MONROE CARELL JR. CHILDREN'S HOSPITAL AT VANDERBILT
NASHVILLE TN
37232
US

IV. Provider business mailing address

3841 GREEN HILLS VILLAGE DR STE 200
NASHVILLE TN
37215-2691
US

V. Phone/Fax

Practice location:
  • Phone: 615-936-1000
  • Fax:
Mailing address:
  • Phone: 615-936-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0222X
TaxonomyCritical Care Pediatric Nurse Practitioner
License Number17095
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: