Provider Demographics
NPI:1780219329
Name:BARKER, SARAH (MSN, PMHNP-BC, CPN)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:
Last Name:BARKER
Suffix:
Gender:F
Credentials:MSN, PMHNP-BC, CPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2810 N CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19802-4447
Mailing Address - Country:US
Mailing Address - Phone:510-527-7768
Mailing Address - Fax:302-400-8118
Practice Address - Street 1:11201 N TATUM BLVD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85028-6036
Practice Address - Country:US
Practice Address - Phone:510-527-7768
Practice Address - Fax:302-400-8118
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-04
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ276871363LP0808X
ID73675363LP0808X
OH026415363LP0808X
IL209026192363LP0808X
IAG171402363LP0808X
NDR53267363LP0808X
UT12980821-3102363LP0808X
WV114793363LP0808X
CA95016308363LP0808X
NYF403151-01363LP0808X
OHAPRN.CNP.026415363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty