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Individual

MEGAN SANBORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9308456
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
123425600
FL
01
3TQM9
BLUE CROSS BLUE SHIELD
FL
01
9308455
CERTIFIED PEDIATRIC NURSE PRACTITIONER
FL
Enumeration date
02/14/2018
Last updated
12/03/2024
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