Provider Demographics
NPI:1780228981
Name:FRIEND, SARRAH (FNP)
Entity Type:Individual
Prefix:MRS
First Name:SARRAH
Middle Name:
Last Name:FRIEND
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 1:8012 S 42ND AVE
Mailing Address - Street 2:
Mailing Address - City:LAVEEN
Mailing Address - State:AZ
Mailing Address - Zip Code:85339-2552
Mailing Address - Country:US
Mailing Address - Phone:623-687-0886
Mailing Address - Fax:
Practice Address - Street 1:8012 S 42ND AVE
Practice Address - Street 2:
Practice Address - City:LAVEEN
Practice Address - State:AZ
Practice Address - Zip Code:85339-2552
Practice Address - Country:US
Practice Address - Phone:623-687-0886
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-30
Last Update Date:2019-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ234177363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily