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Individual

MRS. SARAH H NEAULT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
B.S.N., M.S.

Contact information

Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(616) 915-8664
Mailing address
2318 N OAKLEY AVE, LOWER UNIT, CHICAGO, IL 60647-3238
(616) 915-8664

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
670105
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
209.012780
IL
390200000X
Student in an Organized Health Care Education/Training Program
670105
NY

Other

Enumeration date
07/07/2014
Last updated
10/16/2015
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