Provider Demographics
NPI:1689491862
Name:DAILEY, SARAH ELIZABETH (RN)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ELIZABETH
Last Name:DAILEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3904 SPRINGMIST DR
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845-4878
Mailing Address - Country:US
Mailing Address - Phone:214-850-0523
Mailing Address - Fax:
Practice Address - Street 1:8441 RIVERSIDE PARKWAY
Practice Address - Street 2:CLINICAL BUILDING 1 ROOM 3539
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77807
Practice Address - Country:US
Practice Address - Phone:979-436-9715
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-20
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX880963163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse