Individual
SARAH LOCKWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
1211 W LA PALMA AVE STE 404, ANAHEIM, CA 92801-2806
(714) 772-8282
(714) 772-6493
Mailing address
PO BOX 15090, ANAHEIM, CA 92803-5090
(714) 577-2124
(714) 577-2125
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95016084
CA
363LG0600X
Gerontology Nurse Practitioner
95016084
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2020043064
AGACNP-BC
CA
01
—
593670
REGISTERED NURSE
CA
01
—
95016084
NURSE PRACTITIONER FURNISHING LICENSE
CA
Enumeration date
01/20/2021
Last updated
01/21/2021
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