Provider Demographics
NPI:1437855368
Name:GRIMMER, SARAH C (DNP, APRN, FNP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:C
Last Name:GRIMMER
Suffix:
Gender:F
Credentials:DNP, APRN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 W JOHANNA ST UNIT 106
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-4259
Mailing Address - Country:US
Mailing Address - Phone:512-884-3641
Mailing Address - Fax:
Practice Address - Street 1:327 E CESAR CHAVEZ ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78701-4577
Practice Address - Country:US
Practice Address - Phone:512-615-3280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-02
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1109778363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily