Most Relevant Information
Provider Data
| NPI Number: | 1003645300 |
| Provider Name: | SARAH MADSEN RN, PMHNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 12508 |
Most Important Dates
| Enumeration Date: | 07/26/2024 |
| Last Updated: | 07/26/2024 |
Provider Practice Location
1025 W BARNETTE ST
FAIRBANKS
AK
997014539
Practice Location Phone/Fax
| Phone: | 9074511665 |
| Fax: | 9074511661 |
Provider Mailing Location
410 CRAIG AVE
FAIRBANKS
AK
997013216
Provider Mailing Phone/Fax
| Phone: | 9075905806 |
| Fax: |