Provider Demographics
NPI:1770190514
Name:EARLY, SARA ELIZABETH (DNP, AGNP-C)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:ELIZABETH
Last Name:EARLY
Suffix:
Gender:F
Credentials:DNP, AGNP-C
Other - Prefix:DR
Other - First Name:SARABETH
Other - Middle Name:
Other - Last Name:EARLY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DNP, AGNP-C
Mailing Address - Street 1:3518 DRAWBRIDGE PKWY STE 330
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-8432
Mailing Address - Country:US
Mailing Address - Phone:336-890-3140
Mailing Address - Fax:336-890-3167
Practice Address - Street 1:3518 DRAWBRIDGE PKWY STE 330
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-8432
Practice Address - Country:US
Practice Address - Phone:336-890-3140
Practice Address - Fax:336-890-3167
Is Sole Proprietor?:No
Enumeration Date:2020-09-25
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5013596363LA2200X, 363LG0600X, 363LP2300X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care