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Individual

SARAH REBECCA DAMEN

Active
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Individual

SARAH REBECCA DAMEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
149715
TN
363LW0102X
Women's Health Nurse Practitioner
Primary
0024170351
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
-010
TRICARE
VA
01
10116321N
OPTIMA HEALTH
VA
01
1508184912
VIRGINIA PREMIER HEALTH PLAN
VA
05
1508184912
NC
05
1508184912
VA
01
PAR
CORVEL
VA
Enumeration date
05/10/2010
Last updated
12/20/2013
Update your record

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