Individual
SARA H CHAMBERLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7777 HENNESSY BLVD, SUITE #211, BATON ROUGE, LA 70808-4300
(225) 765-7163
Mailing address
DEPT AT952639, ATLANTA, GA 31192-2639
(877) 485-4474
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN104096
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2125192
—
LA
Enumeration date
06/29/2010
Last updated
09/06/2012
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