Provider Demographics
NPI:1891978672
Name:MCCAVITT, SARA LYNN (APRN, CNS, BC)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:LYNN
Last Name:MCCAVITT
Suffix:
Gender:F
Credentials:APRN, CNS, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18420 SIERRA VEREDA
Mailing Address - Street 2:
Mailing Address - City:RIO VERDE
Mailing Address - State:AZ
Mailing Address - Zip Code:85263
Mailing Address - Country:US
Mailing Address - Phone:309-453-1536
Mailing Address - Fax:
Practice Address - Street 1:18420 SIERRA VEREDA
Practice Address - Street 2:
Practice Address - City:RIO VERDE
Practice Address - State:AZ
Practice Address - Zip Code:85263
Practice Address - Country:US
Practice Address - Phone:309-453-1536
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-14
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209005926364SA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2100XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAcute Care