Provider Demographics
NPI:1275918229
Name:BEASLEY, SARAH (DNP, APRN, FNP-BC)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:
Last Name:BEASLEY
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-BC
Other - Prefix:MRS
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:LUCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4730 E STATE ROAD 64 STE A
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34208-9058
Mailing Address - Country:US
Mailing Address - Phone:941-253-0300
Mailing Address - Fax:941-348-1056
Practice Address - Street 1:4730 E STATE ROAD 64 STE A
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34208-9058
Practice Address - Country:US
Practice Address - Phone:941-253-0300
Practice Address - Fax:949-655-8647
Is Sole Proprietor?:No
Enumeration Date:2015-07-20
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9307958363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily