Individual
SARA ADAMS ADDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2150 LAKESIDE BLVD, SUITE 100, RICHARDSON, TX 75082-4302
(972) 437-4698
(972) 690-9309
Mailing address
2150 LAKESIDE BLVD, SUITE 100, RICHARDSON, TX 75082-4302
(972) 437-4698
(972) 690-9309
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
692182
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
692182
RN LICENSE
TX
Enumeration date
09/29/2009
Last updated
03/07/2023
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