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General NPI Number Information
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NPI Number | 1790258986
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Entity Type | Individual
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Provider Name | SARAH LYNETTE NULTON CRNP
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Gender | Female
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Dates
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Enumeration Date | 01/10/2019
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 22 ST PAUL DR
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City | CHAMBERSBURG
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State | PA
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Zip | 17201-1036
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Country | US
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Telephone | 717-217-6944
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Fax | 717-303-3729
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Provider Business Mailing Address
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Address Line | 601 MEMORY LN
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City | YORK
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State | PA
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Zip | 17402-2231
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Country | US
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Telephone | 717-749-3181
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Fax | 717-349-3191
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN703175
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP025736
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License Number State | PA
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