Provider Demographics
NPI:1487312484
Name:TANK, SARAH DAWN (CRNP)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:DAWN
Last Name:TANK
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:DAWN
Other - Last Name:ROBERTSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:3515 CLOVERDALE RD
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35633-1301
Mailing Address - Country:US
Mailing Address - Phone:256-284-7706
Mailing Address - Fax:256-284-7711
Practice Address - Street 1:3515 CLOVERDALE RD
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35633-1301
Practice Address - Country:US
Practice Address - Phone:256-284-7706
Practice Address - Fax:256-284-7711
Is Sole Proprietor?:No
Enumeration Date:2021-12-07
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-150197363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily