Provider Demographics
NPI:1669974499
Name:DRUM, SARAH E (APRN)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:E
Last Name:DRUM
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4196 HIGHWAY 62 412 STE A
Mailing Address - Street 2:
Mailing Address - City:HARDY
Mailing Address - State:AR
Mailing Address - Zip Code:72542-8002
Mailing Address - Country:US
Mailing Address - Phone:870-994-7301
Mailing Address - Fax:
Practice Address - Street 1:106 N VAN BUREN ST
Practice Address - Street 2:
Practice Address - City:WEINER
Practice Address - State:AR
Practice Address - Zip Code:72479-9289
Practice Address - Country:US
Practice Address - Phone:870-605-0014
Practice Address - Fax:501-468-0472
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-07
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA005562363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner