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NPI Code Detail

MEDICARE: SARAH KATELYN DIBUO

MEDICARE:   SARAH KATELYN DIBUO
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
1363L00000XNurse PractitionerLG-0011925DE

General Provider Information

NPI Number : 1679228472
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH KATELYN DIBUO
Provider Business Mailing Address
First Line : 1515 SAVANNAH RD
Second Line :
City : LEWES
State : DE
Zip : 19958-1675
Country : US
Telephone Number : 302-645-3499
Fax Number : 302-644-4830
Provider Business Practice Location Address
First Line : 36450 TIDAL RD UNIT 2
Second Line :
City : SELBYVILLE
State : DE
Zip : 19975-4596
Country : US
Telephone Number : 302-291-6045
Fax Number : 833-449-3867
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2022
Last Update Date : 10/14/2025

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Directions to “ SARAH KATELYN DIBUO ” Practice Location

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