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NPI Code Detail

MEDICARE: SARAH REAL RN

MEDICARE: SARAH REAL RN
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
1163W00000XRegistered Nurse304109AZ

General Provider Information

NPI Number : 1518817006
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH REAL RN
Provider Business Mailing Address
First Line : 400 E EARLL DR UNIT 410
Second Line :
City : PHOENIX
State : AZ
Zip : 85012-0026
Country : US
Telephone Number : 619-917-8264
Fax Number :
Provider Business Practice Location Address
First Line : 6601 W THOMAS RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85033-5700
Country : US
Telephone Number : 602-243-7277
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2026
Last Update Date : 02/02/2026

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Directions to “ SARAH REAL RN” Practice Location

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