Provider Demographics
NPI:1689682775
Name:GRIEWAHN, SARAH E (FNP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:E
Last Name:GRIEWAHN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5600 BEE CAVE ROAD STE # 100
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78736
Mailing Address - Country:US
Mailing Address - Phone:512-329-8081
Mailing Address - Fax:512-329-8281
Practice Address - Street 1:5600 BEE CAVE ROAD STE # 100
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746
Practice Address - Country:US
Practice Address - Phone:512-329-8182
Practice Address - Fax:512-329-8281
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2014-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX215503163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP23705Medicare UPIN