Provider Demographics
NPI:1376010892
Name:KLEIN, SARAH DAWN (APRN)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:DAWN
Last Name:KLEIN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4360 THOMAS ST
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68803-1359
Mailing Address - Country:US
Mailing Address - Phone:402-601-8998
Mailing Address - Fax:
Practice Address - Street 1:912 CONCORD AVE
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68803-4911
Practice Address - Country:US
Practice Address - Phone:308-384-1080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-01
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3012851363LF0000X
NE113859363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily