Individual
SARAH ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041378740
IL
363LA2100X
Acute Care Nurse Practitioner
Primary
209019495
IL
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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