SARA BUTLER RUSSELL APRN NPI 1942384615

NPI Information

  • NPI: 1942384615
  • Provider Name: SARA BUTLER RUSSELL, APRN
  • Classification: Nurse Practitioner - 363LW0102X
  • Specialization: Women's Health
  • Entity Type: Individual
  • Address: 3302 N NORTHHILLS BLVD
    FAYETTEVILLE, AR
    ZIP 72703
  • Phone: (479) 582-3366

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NPI Details

Sara Butler Russell, APRN is a women's health nurse practitioner in Fayetteville, AR. Sara Butler Russell, APRN NPI is 1942384615. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3302 N NORTHHILLS BLVD
FAYETTEVILLE, AR
ZIP 72703-008
Phone: (479) 582-3366

The enumeration date for this NPI number is 10/25/2006 and was last updated on 11/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LW0102XNurse PractitionerWomen's HealthA002995ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1168375758MEDICAIDARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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