MEDICARE: SARAH KNOWLTON FNP

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	163W00000X	Registered Nurse	059700-21	NH
2	163W00000X	Registered Nurse	760719	CA
3	363LF0000X	Family Nurse Practitioner	CNP181227	ME
4	363LF0000X	Family Nurse Practitioner	AC004686	MD

General Provider Information

NPI Number	:	1558716852
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH KNOWLTON FNP

Provider Business Mailing Address
First Line	:	1 EMBARCADERO CTR STE 1900
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94111-3723
Country	:	US
Telephone Number	:	415-658-6791
Fax Number	:

Provider Business Practice Location Address
First Line	:	911 MEETING ST
Second Line	:
City	:	NORTH BETHESDA
State	:	MD
Zip	:	20852-2375
Country	:	US
Telephone Number	:	888-663-6331
Fax Number	:

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

Provider Enumeration Date	:	04/25/2016
Last Update Date	:	06/04/2024

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