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NPI Code Detail

MEDICARE: SARA ALEXANDRIA MOFFITT

MEDICARE:   SARA ALEXANDRIA MOFFITT
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 PractitionerRN.484562OH
2207RP1001XPulmonary Disease PhysicianRN.484562OH

General Provider Information

NPI Number : 1437085123
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA ALEXANDRIA MOFFITT
Provider Business Mailing Address
First Line : 18101 LORAIN AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44111-5612
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 18101 LORAIN AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44111-5612
Country : US
Telephone Number : 216-476-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2026
Last Update Date : 06/20/2026

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Directions to “ SARA ALEXANDRIA MOFFITT ” Practice Location

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