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Individual

SARA BRITTANY WOODBERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
19991
SC
363LF0000X
Family Nurse Practitioner
19991
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP3932
SC
Enumeration date
02/02/2016
Last updated
11/11/2020
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