Provider Demographics
NPI:1851069496
Name:SPRY, SARAH (ARNP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:SPRY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15328 PENDIO DR
Mailing Address - Street 2:
Mailing Address - City:BELLA COLLINA
Mailing Address - State:FL
Mailing Address - Zip Code:34756-3633
Mailing Address - Country:US
Mailing Address - Phone:586-530-7008
Mailing Address - Fax:
Practice Address - Street 1:15328 PENDIO DR
Practice Address - Street 2:
Practice Address - City:BELLA COLLINA
Practice Address - State:FL
Practice Address - Zip Code:34756-3633
Practice Address - Country:US
Practice Address - Phone:586-530-7008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-30
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9321959363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily