Individual
SARAH ELIZABETH CARLISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1619 4TH AVE, CANYON, TX 79015-3824
(806) 557-4674
Mailing address
1619 4TH AVE, CANYON, TX 79015-3824
(806) 557-4674
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1003517
TX
Other
Enumeration date
07/16/2020
Last updated
12/02/2021
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