Provider Demographics
NPI:1982187399
Name:LINDSOE, SARA A (DNP, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:A
Last Name:LINDSOE
Suffix:
Gender:F
Credentials:DNP, PMHNP-BC
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:A
Other - Last Name:BAILEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8136 WHITE DR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99507-6046
Mailing Address - Country:US
Mailing Address - Phone:907-980-5981
Mailing Address - Fax:
Practice Address - Street 1:8136 WHITE DR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99507-6046
Practice Address - Country:US
Practice Address - Phone:907-980-5981
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-11
Last Update Date:2020-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK136171363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK136171OtherAPRN LICENSE
AK28728OtherALASKA RN LICENSE