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NPI Code Detail

MEDICARE: SARA BODE FNP-C

MEDICARE:   SARA  BODE  FNP-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
1363LF0000XFamily Nurse PractitionerAP136324TX

General Provider Information

NPI Number : 1245738749
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA BODE FNP-C
Provider Business Mailing Address
First Line : 711 W 38TH ST STE G2
Second Line :
City : AUSTIN
State : TX
Zip : 78705-1134
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 711 W 38TH ST STE G2
Second Line :
City : AUSTIN
State : TX
Zip : 78705-1134
Country : US
Telephone Number : 512-910-3800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2018
Last Update Date : 01/30/2018

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Directions to “ SARA BODE FNP-C” Practice Location

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