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NPI Code Detail

MEDICARE: MRS. SARAH ALLEN FAZEKAS FNPC

MEDICARE: MRS. SARAH ALLEN FAZEKAS FNPC
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 Practitioner201341NC
2363LF0000XFamily Nurse Practitioner138939NC

General Provider Information

NPI Number : 1154643898
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SARAH ALLEN FAZEKAS FNPC
Provider Business Mailing Address
First Line : 405 S MAIN ST
Second Line :
City : RAEFORD
State : NC
Zip : 28376-3222
Country : US
Telephone Number : 910-323-1718
Fax Number : 910-323-5701
Provider Business Practice Location Address
First Line : 405 S MAIN ST
Second Line :
City : RAEFORD
State : NC
Zip : 28376-3222
Country : US
Telephone Number : 910-615-5800
Fax Number : 910-875-0309
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2010
Last Update Date : 11/14/2025

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