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NPI Code Detail

MEDICARE: SARAH KATLYN SHORT

MEDICARE: SARAH KATLYN SHORT
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
1363LF0000XFamily Nurse PractitionerF04250585NC

General Provider Information

NPI Number : 1558258475
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH KATLYN SHORT
Provider Business Mailing Address
First Line : 101 E 2ND ST
Second Line :
City : KENLY
State : NC
Zip : 27542-7794
Country : US
Telephone Number : 919-249-5606
Fax Number :
Provider Business Practice Location Address
First Line : 101 E 2ND ST
Second Line :
City : KENLY
State : NC
Zip : 27542-7794
Country : US
Telephone Number : 919-284-4025
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2025
Last Update Date : 11/17/2025

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Directions to “ SARAH KATLYN SHORT ” Practice Location

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