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Individual
SARAH LYNN CARBULLIDO
Active
Individual
SARAH LYNN CARBULLIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024182191
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001303209
REGISTERED NURSE
VA
01
—
0024182191
NURSE PRACTITIONER LICENSE
VA
Enumeration date
12/04/2020
Last updated
07/08/2022
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