Individual
SARAH KAY DE BELEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1500 E. DUARTE ROAD, DUARTE, CA 91010
(626) 256-4673
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
95009289
CA
363LG0600X
Gerontology Nurse Practitioner
Primary
95009289
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95009289
NURSE PRACTITIONER LICENSE
CA
Enumeration date
06/28/2018
Last updated
12/07/2020
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