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NPI Code Detail

MEDICARE: SARA MALKIN

MEDICARE: SARA MALKIN
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
1163WS0200XSchool Registered Nurse312212AZ

General Provider Information

NPI Number : 1336003813
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA MALKIN
Provider Business Mailing Address
First Line : 15002 N 32ND ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85032-4441
Country : US
Telephone Number : 602-449-2051
Fax Number :
Provider Business Practice Location Address
First Line : 15002 N 32ND ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85032-4441
Country : US
Telephone Number : 602-449-2051
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2025
Last Update Date : 12/10/2025

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Directions to “ SARA MALKIN ” Practice Location

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