Provider Demographics
NPI:1427202662
Name:PRATT, SARA LYNN (APRN)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:LYNN
Last Name:PRATT
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 1:1371 SE CONFERENCE CIR
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34997-7639
Mailing Address - Country:US
Mailing Address - Phone:561-332-2020
Mailing Address - Fax:
Practice Address - Street 1:1371 SE CONFERENCE CIR
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34997-7639
Practice Address - Country:US
Practice Address - Phone:561-332-2020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-14
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA 10365-NP363LA2200X
FL937954363LA2200X
FL9379549363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty