Provider Demographics
NPI:1801139381
Name:APKING, SARAH E (NP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:E
Last Name:APKING
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12231 VILLA PARK DR
Mailing Address - Street 2:
Mailing Address - City:GEISMAR
Mailing Address - State:LA
Mailing Address - Zip Code:70734-3273
Mailing Address - Country:US
Mailing Address - Phone:678-227-2712
Mailing Address - Fax:
Practice Address - Street 1:12231 VILLA PARK DR
Practice Address - Street 2:
Practice Address - City:GEISMAR
Practice Address - State:LA
Practice Address - Zip Code:70734-3273
Practice Address - Country:US
Practice Address - Phone:678-227-2712
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-03
Last Update Date:2013-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN129128163W00000X
LAAP07264363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse