Provider Demographics
NPI:1255983334
Name:CLAUSSEN, SARAH BETH (FNP-C)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:BETH
Last Name:CLAUSSEN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1415 TERRACE VIEW DR
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86301-1554
Mailing Address - Country:US
Mailing Address - Phone:928-499-2771
Mailing Address - Fax:
Practice Address - Street 1:1151 W IRON SPRINGS RD STE F
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86305-1614
Practice Address - Country:US
Practice Address - Phone:928-445-0160
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-10
Last Update Date:2019-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN161549163W00000X
AZ230343363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse