Provider Demographics
NPI:1841264058
Name:THOMAS, SARAH ELLEN (FNP-C)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:ELLEN
Last Name:THOMAS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:166 WILLOW TRL
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-7085
Mailing Address - Country:US
Mailing Address - Phone:828-265-4516
Mailing Address - Fax:828-262-6262
Practice Address - Street 1:3140 SUNTREE BLVD STE 5
Practice Address - Street 2:
Practice Address - City:ROCKLEDGE
Practice Address - State:FL
Practice Address - Zip Code:32955-5789
Practice Address - Country:US
Practice Address - Phone:321-985-4200
Practice Address - Fax:321-622-4062
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11013763363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily