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Individual
SARAH E PROL
Active
Individual
SARAH E PROL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024173679
VA
363LA2200X
Adult Health Nurse Practitioner
0024173679
VA
363LG0600X
Gerontology Nurse Practitioner
0024173679
VA
363LP2300X
Primary Care Nurse Practitioner
0024173679
VA
Other
Enumeration date
06/28/2016
Last updated
09/16/2022
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