Provider Demographics
NPI:1336512755
Name:AMBRUSTER-BARBER, SARAH REDANNH (MSN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:REDANNH
Last Name:AMBRUSTER-BARBER
Suffix:
Gender:F
Credentials:MSN, FNP-BC
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:R
Other - Last Name:BARBER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:515 W HASKELL ST
Mailing Address - Street 2:
Mailing Address - City:WINNEMUCCA
Mailing Address - State:NV
Mailing Address - Zip Code:89445-3782
Mailing Address - Country:US
Mailing Address - Phone:775-625-4653
Mailing Address - Fax:
Practice Address - Street 1:515 W HASKELL ST
Practice Address - Street 2:
Practice Address - City:WINNEMUCCA
Practice Address - State:NV
Practice Address - Zip Code:89445-3782
Practice Address - Country:US
Practice Address - Phone:775-625-4653
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-06
Last Update Date:2015-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPRN002068363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily