Basic Information
| Provider Information | |||||||||
| NPI: | 1174255483 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BILLMAN | ||||||||
| FirstName: | SARAH | ||||||||
| MiddleName: | JOANN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1650 17TH ST W | ||||||||
| Address2: | |||||||||
| City: | PALMETTO | ||||||||
| State: | FL | ||||||||
| PostalCode: | 342216124 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9415267175 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2310 60TH STREET CT W | ||||||||
| Address2: | |||||||||
| City: | BRADENTON | ||||||||
| State: | FL | ||||||||
| PostalCode: | 342096609 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9417924993 | ||||||||
| FaxNumber: | 9417952905 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/27/2022 | ||||||||
| LastUpdateDate: | 06/27/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 06/27/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | APRN11020438 | FL | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.