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Individual

SADIE ANN EK

Active
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Individual

SADIE ANN EK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
688625
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
284493801
TX
05
284493802
TX
05
284493803
TX
01
688625
TEXAS BOARD OF NURSING
TX
Enumeration date
11/03/2010
Last updated
01/25/2012
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