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Individual
SARAH E DAVIS
Active
Individual
SARAH E DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041344050
IL
363L00000X
Nurse Practitioner
209010892
IL
363LA2100X
Acute Care Nurse Practitioner
Primary
209010892
IL
Other
Enumeration date
09/17/2013
Last updated
03/18/2019
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