MEDICARE: MRS. SARAH CHRISTINE LE MSN, APRN, NP-C

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
1	363LF0000X	Family Nurse Practitioner	1057914	TX

General Provider Information

NPI Number	:	1720747033
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SARAH CHRISTINE LE MSN, APRN, NP-C

Provider Business Mailing Address
First Line	:	11811 BANDERA CREEK LN
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77346-2997
Country	:	US
Telephone Number	:	936-443-3592
Fax Number	:

Provider Business Practice Location Address
First Line	:	451 KINGWOOD MEDICAL DR STE 200
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339-6408
Country	:	US
Telephone Number	:	281-359-2080
Fax Number	:	281-359-2421

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/14/2021
Last Update Date	:	12/14/2021

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