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Individual

SANDRA SUE KARP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NMNP

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
201250135NP
OR
367A00000X
Advanced Practice Midwife
Primary
201250135NP-PP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500648404
OR
01
R166267
MEDICARE PTAN
OR
Enumeration date
08/22/2012
Last updated
06/18/2016
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