Provider Demographics
NPI:1669981015
Name:MANN, SARAH (ARNP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:MANN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:MERRITT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:3663 DUNCAN CREEK RD
Mailing Address - Street 2:
Mailing Address - City:RUSSELLVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35653-5241
Mailing Address - Country:US
Mailing Address - Phone:352-431-0053
Mailing Address - Fax:
Practice Address - Street 1:2548 US HIGHWAY 43
Practice Address - Street 2:
Practice Address - City:WINFIELD
Practice Address - State:AL
Practice Address - Zip Code:35594-5258
Practice Address - Country:US
Practice Address - Phone:205-395-5010
Practice Address - Fax:205-430-2341
Is Sole Proprietor?:No
Enumeration Date:2017-09-28
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-188498363LF0000X
FLARNP9310813363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL022423100Medicaid