Provider Demographics
NPI:1073827465
Name:DONAHUE, SARAH R (APRN)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:R
Last Name:DONAHUE
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 1:1825 4TH STREET, 3RD FLOOR
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143
Mailing Address - Country:US
Mailing Address - Phone:415-353-7070
Mailing Address - Fax:415-353-9898
Practice Address - Street 1:1825 4TH STREET, 3RD FLOOR
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143
Practice Address - Country:US
Practice Address - Phone:415-353-7070
Practice Address - Fax:415-353-9898
Is Sole Proprietor?:No
Enumeration Date:2010-07-28
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP23218363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008022599Medicaid
CT004410OtherCT LICENSE
CTD400033243Medicare PIN