MEDICARE: SANDRA BRITT ARNP

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	363LA2200X	Adult Health Nurse Practitioner	ARNP2672012	FL
2	363LA2200X	Adult Health Nurse Practitioner	5008035	NC

General Provider Information

NPI Number	:	1225313182
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANDRA BRITT ARNP

Provider Business Mailing Address
First Line	:	7613 FALCON REST CIR
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27615-2560
Country	:	US
Telephone Number	:	386-682-9644
Fax Number	:

Provider Business Practice Location Address
First Line	:	6008 CREEDMOOR RD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27612-2209
Country	:	US
Telephone Number	:	919-844-4552
Fax Number	:

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

Provider Enumeration Date	:	10/11/2011
Last Update Date	:	10/16/2015

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