Provider Demographics
NPI:1093098311
Name:KERR, SARAH MAE (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:MAE
Last Name:KERR
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6961 N SOLAZ TERCERO
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-1137
Mailing Address - Country:US
Mailing Address - Phone:520-869-8656
Mailing Address - Fax:
Practice Address - Street 1:4757 E WINSETT ST
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-4370
Practice Address - Country:US
Practice Address - Phone:520-232-6617
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-22
Last Update Date:2019-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ222490363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health