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Individual

SARAH F FANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3970
Mailing address
501 AUDUBON ST, NEW ORLEANS, LA 70118-4903
(504) 861-2565

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA.200866
LA
363AS0400X
Surgical Physician Assistant
PERMIT892
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06135879
MS
05
2398962
LA
Enumeration date
05/18/2015
Last updated
10/11/2023
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