MEDICARE: MS. SARAH ELIZABETH VERMEULEN NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LW0102X	Women's Health Nurse Practitioner	254293	AZ

General Provider Information

NPI Number	:	1023546322
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SARAH ELIZABETH VERMEULEN NP

Provider Business Mailing Address
First Line	:	7355 S HOUGHTON RD STE 208
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85747-9381
Country	:	US
Telephone Number	:	520-694-8888
Fax Number	:	520-505-5923

Provider Business Practice Location Address
First Line	:	7355 S HOUGHTON RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85747-9379
Country	:	US
Telephone Number	:	520-694-8888
Fax Number	:	520-505-5923

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2017
Last Update Date	:	03/22/2026

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