Provider Demographics
NPI:1023516291
Name:ERB, SARAH FAY (RN, CNP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:FAY
Last Name:ERB
Suffix:
Gender:F
Credentials:RN, CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 OAK ST NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87106-4725
Mailing Address - Country:US
Mailing Address - Phone:505-855-5525
Mailing Address - Fax:505-292-8409
Practice Address - Street 1:300 OAK ST NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87106
Practice Address - Country:US
Practice Address - Phone:505-855-5525
Practice Address - Fax:505-884-4006
Is Sole Proprietor?:No
Enumeration Date:2018-01-23
Last Update Date:2018-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRN-72222163WG0000X
NMCNP-03500363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice