Provider Demographics
NPI:1366049249
Name:TOTH, SARAH LAUREN (AGACNP)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:LAUREN
Last Name:TOTH
Suffix:
Gender:F
Credentials:AGACNP
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:11970 N CENTRAL EXPY STE 510
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-3961
Mailing Address - Country:US
Mailing Address - Phone:214-575-5885
Mailing Address - Fax:907-782-4662
Practice Address - Street 1:11970 N CENTRAL EXPY STE 510
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-3961
Practice Address - Country:US
Practice Address - Phone:214-575-5885
Practice Address - Fax:907-782-4662
Is Sole Proprietor?:No
Enumeration Date:2020-10-05
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX878696163W00000X
TXAP145369363LA2100X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX33676OtherTEXAS BOARD OF NURSING PRESCRIPTIVE AUTHORITY NUMBER