Provider Demographics
NPI:1457834475
Name:KONDRAK, SARAH KRAUSE (CRNP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:KRAUSE
Last Name:KONDRAK
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:ELIZABETH
Other - Last Name:KRAUSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1855 HALCYON BLVD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-8044
Mailing Address - Country:US
Mailing Address - Phone:334-530-6387
Mailing Address - Fax:334-612-7110
Practice Address - Street 1:1855 HALCYON BLVD
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-8044
Practice Address - Country:US
Practice Address - Phone:334-530-6387
Practice Address - Fax:334-612-7110
Is Sole Proprietor?:No
Enumeration Date:2018-09-14
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-145448363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily