Healthcare Provider Details

I. General information

NPI: 1154725604
Provider Name (Legal Business Name): SARIT VASERMAN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2014
Last Update Date: 10/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12505 BOONE HALL CT
RALEIGH NC
27614-9323
US

IV. Provider business mailing address

12505 BOONE HALL CT
RALEIGH NC
27614-9323
US

V. Phone/Fax

Practice location:
  • Phone: 919-345-7003
  • Fax:
Mailing address:
  • Phone: 919-345-7003
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SF0001X
TaxonomyFamily Health Clinical Nurse Specialist
License NumberRN:206682 VASELQ5H1F
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: