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Individual

MRS. SARAH ANNE BENNICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, APRN, CPNP

Contact information

Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(919) 966-4095
Mailing address
5146 GREEN KNIGHT CT, RALEIGH, NC 27612-3092
(860) 689-3952

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
26NJ00412100
NJ
363LP0200X
Pediatric Nurse Practitioner
Primary
5008260
NC

Other

Enumeration date
01/30/2013
Last updated
02/25/2016
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