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Individual
SARA ARDILA
Active
Individual
SARA ARDILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
RN2306573
MA
363LA2200X
Adult Health Nurse Practitioner
Primary
RN2306573
MA
363LG0600X
Gerontology Nurse Practitioner
310769
NY
Other
Enumeration date
01/25/2018
Last updated
02/01/2024
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