Provider Demographics
NPI:1427579739
Name:SINCLAIR, SARA JANE (NP-C)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:JANE
Last Name:SINCLAIR
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:
Other - Last Name:MCCRONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:451 S 84TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-4411
Mailing Address - Country:US
Mailing Address - Phone:402-507-1388
Mailing Address - Fax:
Practice Address - Street 1:8610 W DODGE RD
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-2882
Practice Address - Country:US
Practice Address - Phone:402-507-1388
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-28
Last Update Date:2017-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEF06171124363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily