Provider Demographics
NPI:1003501651
Name:HESTER, SARA ELLEN (APRN)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:ELLEN
Last Name:HESTER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 WASHINGTON ST N
Mailing Address - Street 2:
Mailing Address - City:ALDERSON
Mailing Address - State:WV
Mailing Address - Zip Code:24910-7162
Mailing Address - Country:US
Mailing Address - Phone:814-490-8981
Mailing Address - Fax:
Practice Address - Street 1:140 WASHINGTON ST N
Practice Address - Street 2:
Practice Address - City:ALDERSON
Practice Address - State:WV
Practice Address - Zip Code:24910-7162
Practice Address - Country:US
Practice Address - Phone:814-490-8981
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-10
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV114326363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily