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Individual
SANDRA BRIGITTE FEDIE
Active
Individual
SANDRA BRIGITTE FEDIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN, FNP, WCC
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN124457
AZ
163WW0000X
Wound Care Registered Nurse
2131120
AZ
363LF0000X
Family Nurse Practitioner
Primary
TAP10885
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP10885
LICENSE
AZ
Enumeration date
12/01/2017
Last updated
02/26/2020
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