Individual
MISS SARAH ELIZABETH BRODHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2650 S BRISTOL ST STE 101, SANTA ANA, CA 92704-5751
(714) 754-1444
(714) 754-7009
Mailing address
504 AVENUE F UNIT A, REDONDO BEACH, CA 90277-5150
(310) 995-6960
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
NP95000491
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP95000491
NURSE PRACTITIONER LICENSE NUMBER
CA
Enumeration date
04/23/2014
Last updated
04/23/2014
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