Provider Demographics
NPI:1184071011
Name:WU, SARAH ANN (APN)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:ANN
Last Name:WU
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:ANN
Other - Last Name:HIVELY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:322 MEADOWLAKE CIR
Mailing Address - Street 2:
Mailing Address - City:SEYMOUR
Mailing Address - State:TN
Mailing Address - Zip Code:37865-4971
Mailing Address - Country:US
Mailing Address - Phone:865-566-1788
Mailing Address - Fax:
Practice Address - Street 1:322 MEADOWLAKE CIR
Practice Address - Street 2:
Practice Address - City:SEYMOUR
Practice Address - State:TN
Practice Address - Zip Code:37865-4971
Practice Address - Country:US
Practice Address - Phone:865-566-1788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-20
Last Update Date:2016-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN161095163W00000X
TN20221363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse