Provider Demographics
NPI:1023388725
Name:GRANGER-GLAUSER, SARAH (RN, ACNS-BC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:GRANGER-GLAUSER
Suffix:
Gender:F
Credentials:RN, ACNS-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11400 TIBEE DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78726-1925
Mailing Address - Country:US
Mailing Address - Phone:512-660-0195
Mailing Address - Fax:
Practice Address - Street 1:711F W 38TH ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-1105
Practice Address - Country:US
Practice Address - Phone:512-660-0195
Practice Address - Fax:512-452-9171
Is Sole Proprietor?:No
Enumeration Date:2012-01-11
Last Update Date:2018-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX776696364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health