Provider Demographics
NPI:1346752490
Name:HASENBEIN, SARA KIMBRELL (CRNP)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:KIMBRELL
Last Name:HASENBEIN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:665 MAGNOLIA CREST CT
Mailing Address - Street 2:
Mailing Address - City:ODENVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35120-2403
Mailing Address - Country:US
Mailing Address - Phone:256-689-5670
Mailing Address - Fax:
Practice Address - Street 1:701 S. 19TH STREET
Practice Address - Street 2:LHR 112
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35294
Practice Address - Country:US
Practice Address - Phone:205-934-5526
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-30
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-149832363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care