Individual
SARA TREPANIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 STATE ST FL 26, BOSTON, MA 02109-1827
(888) 982-7956
Mailing address
PO BOX 409540, ATLANTA, GA 30384-9540
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
200400767
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1363F
BCBS PROVIDER NUMBER
NC
05
—
891363F
—
NC
Enumeration date
09/05/2006
Last updated
06/02/2022
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