Provider Demographics
NPI:1457106817
Name:WEATHERLY, SARAH ROSS ADAMS (BSN, RN)
Entity type:Individual
Prefix:MRS
First Name:SARAH ROSS
Middle Name:ADAMS
Last Name:WEATHERLY
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 STACY ST
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35213-1122
Mailing Address - Country:US
Mailing Address - Phone:334-221-6021
Mailing Address - Fax:
Practice Address - Street 1:216 STACY ST
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35213-1122
Practice Address - Country:US
Practice Address - Phone:334-221-6021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-19
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-189787163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse