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NPI Code Detail

MEDICARE: SARAH BREANT ND, L.AC

MEDICARE: SARAH BREANT ND, L.AC
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
1171100000XAcupuncturistLAC-011983AZ
2175F00000XNaturopathND-0011NM
3175F00000XNaturopath22-1752AZ

General Provider Information

NPI Number : 1528665718
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH BREANT ND, L.AC
Provider Business Mailing Address
First Line : 705 N LEROUX ST
Second Line :
City : FLAGSTAFF
State : AZ
Zip : 86001-3225
Country : US
Telephone Number : 602-753-7426
Fax Number :
Provider Business Practice Location Address
First Line : 705 N LEROUX ST
Second Line :
City : FLAGSTAFF
State : AZ
Zip : 86001-3225
Country : US
Telephone Number : 602-753-7426
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2020
Last Update Date : 01/19/2023

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