Provider Demographics
NPI:1326708330
Name:RAWLEY, SARAH LYNN MARIE (DNP, APRN)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:LYNN MARIE
Last Name:RAWLEY
Suffix:
Gender:F
Credentials:DNP, APRN
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:LYNN MARIE
Other - Last Name:REGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11819 MIRACLE HILLS DR STE 203
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68154-4428
Mailing Address - Country:US
Mailing Address - Phone:402-996-0250
Mailing Address - Fax:
Practice Address - Street 1:11819 MIRACLE HILLS DR STE 203
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68154-4428
Practice Address - Country:US
Practice Address - Phone:402-996-0250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-19
Last Update Date:2021-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE113961363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily