Provider Demographics
NPI:1174940423
Name:HALTER, SARAH JOANNE (APRN, CPNP AC/PC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:JOANNE
Last Name:HALTER
Suffix:
Gender:F
Credentials:APRN, CPNP AC/PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6797 SHADOW GLEN DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-4417
Mailing Address - Country:US
Mailing Address - Phone:941-962-1319
Mailing Address - Fax:
Practice Address - Street 1:UTSW 5323 HARRY HINES BLVD MC 9227
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390-2717
Practice Address - Country:US
Practice Address - Phone:941-962-1319
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-25
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP125423363LP0200X, 363LA2100X
TX780060363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics