Healthcare Provider Details

I. General information

NPI: 1265016091
Provider Name (Legal Business Name): SARAH EDWARDS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2021
Last Update Date: 10/17/2021
Certification Date: 10/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8813 N. TARRANT PKWY SUITE 138
NORTH RICHLAND HILLS TX
76182
US

IV. Provider business mailing address

8813 N TARRANT PKWY STE 138
NORTH RICHLAND HILLS TX
76182-8461
US

V. Phone/Fax

Practice location:
  • Phone: 682-325-9636
  • Fax:
Mailing address:
  • Phone: 682-325-9636
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WI0500X
TaxonomyInfusion Therapy Registered Nurse
License NumberR0104958
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: