# SARA VANDEGINSTE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1063035012
- **Gender:** F
- **Credential:** FNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WC0200X | Critical Care Medicine Registered Nurse | 0001221350 | VA | — |
| 363LF0000X | Family Nurse Practitioner | 0024179435 | VA | Yes |

## Other

- **Enumeration date:** 05/26/2020
- **Last updated:** 03/06/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1063035012 | — | VA |
| 05 | — | 30015862070001 | — | VA |