# SANGER HEART AND VASCULAR INSTITUTE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306125224
- **Authorized official:** MS. SAEDRA E PATELLA ANP (ADULT NURSE PRACTITIONER)
- **Authorized official phone:** (704) 373-0212

## Contact information

- **Practice address:** 1001 BLYTHE BLVD, \# 300, CHARLOTTE, NC 28203-5866
- **Practice address phone:** (704) 373-0212
- **Mailing address:** 1001 BLYTHE BOULEVARD, CHARLOTTE, \# 300, CHARLOTTE, NC 28203
- **Mailing address phone:** (919) 306-5992

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 5005274 | NC | Yes |

## Other

- **Enumeration date:** 08/09/2011
- **Last updated:** 10/04/2011
