MEDICARE: SARA ELIZABETH BARE APN

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	363LF0000X	Family Nurse Practitioner	24703	SC

General Provider Information

NPI Number	:	1396318291
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA ELIZABETH BARE APN

Provider Business Mailing Address
First Line	:	496 AVERILL ST
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29601-4120
Country	:	US
Telephone Number	:	843-906-9607
Fax Number	:

Provider Business Practice Location Address
First Line	:	224 E BUTLER RD
Second Line	:
City	:	MAULDIN
State	:	SC
Zip	:	29662-2129
Country	:	US
Telephone Number	:	864-288-1847
Fax Number	:

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

Provider Enumeration Date	:	07/20/2021
Last Update Date	:	06/19/2025

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