Provider Demographics
NPI:1508741471
Name:RUPPERT, SARAH VIOLET (RNFA)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:VIOLET
Last Name:RUPPERT
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:VIOLET
Other - Last Name:BRADLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RNFA
Mailing Address - Street 1:6520 LONETREE BLVD STE 2009
Mailing Address - Street 2:
Mailing Address - City:ROCKLIN
Mailing Address - State:CA
Mailing Address - Zip Code:95765-5874
Mailing Address - Country:US
Mailing Address - Phone:702-458-2304
Mailing Address - Fax:702-458-2305
Practice Address - Street 1:6520 LONETREE BLVD STE 2009
Practice Address - Street 2:
Practice Address - City:ROCKLIN
Practice Address - State:CA
Practice Address - Zip Code:95765-5874
Practice Address - Country:US
Practice Address - Phone:702-458-2304
Practice Address - Fax:702-458-2305
Is Sole Proprietor?:No
Enumeration Date:2025-08-08
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA721641163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant