Provider Demographics
NPI:1609006139
Name:SADLER, AUDREY (APRN)
Entity Type:Individual
Prefix:MRS
First Name:AUDREY
Middle Name:
Last Name:SADLER
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 1:660 1ST AVE
Mailing Address - Street 2:CAR 2
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-3295
Mailing Address - Country:US
Mailing Address - Phone:212-263-8941
Mailing Address - Fax:212-263-8942
Practice Address - Street 1:660 1ST AVE
Practice Address - Street 2:CAR 2
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-3295
Practice Address - Country:US
Practice Address - Phone:212-263-8941
Practice Address - Fax:212-263-8942
Is Sole Proprietor?:No
Enumeration Date:2009-07-17
Last Update Date:2012-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF337272363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily