Provider Demographics
NPI:1033590492
Name:BREITKREUTZ, SARAH TURNER
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:TURNER
Last Name:BREITKREUTZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4421 LONG PRAIRIE RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-1795
Mailing Address - Country:US
Mailing Address - Phone:469-800-1030
Mailing Address - Fax:469-800-1038
Practice Address - Street 1:4421 LONG PRAIRIE RD
Practice Address - Street 2:SUITE 200
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-1795
Practice Address - Country:US
Practice Address - Phone:469-800-1030
Practice Address - Fax:469-800-1038
Is Sole Proprietor?:No
Enumeration Date:2015-06-11
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX751768163W00000X
TXAP128284363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse