Provider Demographics
NPI:1891933578
Name:MILLER, SARAH NASREEN (FNP)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:NASREEN
Last Name:MILLER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:NASREEN
Other - Last Name:ALESAFAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:1000 VALE TERRACE DR
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92084-5218
Mailing Address - Country:US
Mailing Address - Phone:760-433-6880
Mailing Address - Fax:760-414-3731
Practice Address - Street 1:1000 VALE TERRACE DR
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92084-5218
Practice Address - Country:US
Practice Address - Phone:760-433-6880
Practice Address - Fax:760-414-3731
Is Sole Proprietor?:No
Enumeration Date:2009-02-03
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18866363L00000X, 363LF0000X
NY335798363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily