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Individual
SARAH L. MATCHA
Active
Individual
SARAH L. MATCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R158456-7
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891944013
—
MN
05
—
ENROLLED
—
MN
Enumeration date
09/11/2008
Last updated
07/30/2024
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