MEDICARE: SARAH BREITZMAN 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	363LF0000X	Family Nurse Practitioner	2005009914	MN

General Provider Information

NPI Number	:	1407834583
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH BREITZMAN NP

Provider Business Mailing Address
First Line	:	115 E SOO ST
Second Line	:
City	:	PARKERS PRAIRIE
State	:	MN
Zip	:	56361-4995
Country	:	US
Telephone Number	:	218-338-4371
Fax Number	:

Provider Business Practice Location Address
First Line	:	115 E SOO ST
Second Line	:
City	:	PARKERS PRAIRIE
State	:	MN
Zip	:	56361-4995
Country	:	US
Telephone Number	:	218-338-4371
Fax Number	:

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

Provider Enumeration Date	:	01/09/2006
Last Update Date	:	09/30/2015

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