White, Sara R

White, Sara R is an individual health care provider with primary practice located at 1401 Matthews Township Pkwy Suite 200, Matthews NC 28105-5402. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. White, Sara R can be contacted via phone (704) 384-6901.

Contact Information

Primary practice address
1401 Matthews Township Pkwy Suite 200 Matthews NC 28105-5402
Phone: (704) 384-6901
Fax: (704) 384-6902
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 200395 North Carolina

Profile Details

NPI number 1184696106
LBN Legal business name White, Sara R
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Feb 15th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184696106 NPPES
North Carolina MEDICAID 7005357

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