Individual
SARA KHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
7617 CARLA RD, BALTIMORE, MD 21208-4410
(443) 466-9264
Mailing address
7617 CARLA RD, BALTIMORE, MD 21208-4410
(443) 466-9264
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R217541
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R217541
MARYLAND BOARD OF NURSING
MD
Enumeration date
05/07/2019
Last updated
05/07/2019
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