Individual
SARAH BULL
Active
Individual
SARAH BULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP, AGNP-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN669325
PA
363LP2300X
Primary Care Nurse Practitioner
Primary
SP023678
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56-2424638
FAMILY PRACTICE TAX ID
PA
Enumeration date
04/22/2021
Last updated
05/04/2021
Update your record
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