1790023430 NPI number — SARAH RYBARSKI RNFA

Table of content: SARAH RYBARSKI RNFA (NPI 1790023430)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1790023430 NPI number — SARAH RYBARSKI RNFA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RYBARSKI
Provider First Name:
SARAH
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
RNFA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1790023430
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/11/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
500 E WHITESTONE BLVD UNIT 1057
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CEDAR PARK
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78630-4344
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
512-271-9723
Provider Business Mailing Address Fax Number:
512-222-6141

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
500 E WHITESTONE BLVD UNIT 1057
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CEDAR PARK
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78630-4344
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-271-9723
Provider Business Practice Location Address Fax Number:
512-222-6141
Provider Enumeration Date:
01/30/2013

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163WR0006X , with the licence number:  750529 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 750529 . This is a "REGISTERED NURSE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".