Individual
DR. SARI NICOLE FANDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607
(919) 784-3100
Mailing address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-3100
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME102940
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
2017-01387
NC
207RP1001X
Pulmonary Disease Physician
2017-01387
NC
Other
Enumeration date
06/04/2007
Last updated
03/25/2021
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