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Individual

SARAH L. MATCHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, CNP

Contact information

Practice address
2301 25TH ST S, FARGO, ND 58103-6104
(701) 417-6600
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R158456-7
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1891944013
MN
05
ENROLLED
MN
Enumeration date
09/11/2008
Last updated
07/30/2024
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