MEDICARE: DR. SARA ELIZABETH EARLY DNP, AGNP-C

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	363LG0600X	Gerontology Nurse Practitioner	5013596	NC
2	363LA2200X	Adult Health Nurse Practitioner	5013596	NC
3	363L00000X	Nurse Practitioner	5013596	NC
4	363LP2300X	Primary Care Nurse Practitioner	5013596	NC

General Provider Information

NPI Number	:	1770190514
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARA ELIZABETH EARLY DNP, AGNP-C

Provider Business Mailing Address
First Line	:	1581 YANCEYVILLE ST
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27405-6958
Country	:	US
Telephone Number	:	336-275-6445
Fax Number	:	336-275-3012

Provider Business Practice Location Address
First Line	:	1581 YANCEYVILLE ST
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27405-6958
Country	:	US
Telephone Number	:	336-275-6445
Fax Number	:	336-275-3012

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

Provider Enumeration Date	:	09/25/2020
Last Update Date	:	06/06/2026

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