MEDICARE: MRS. SARAH G TALONE R.N.

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	163WM0705X	Medical-Surgical Registered Nurse	26NR14222400	NJ

General Provider Information

NPI Number	:	1932478047
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SARAH G TALONE R.N.

Provider Business Mailing Address
First Line	:	6 RED BUD DR
Second Line	:
City	:	FORT STEWART
State	:	GA
Zip	:	31315-1056
Country	:	US
Telephone Number	:	912-435-6721
Fax Number	:

Provider Business Practice Location Address
First Line	:	6 RED BUD DR
Second Line	:
City	:	FORT STEWART
State	:	GA
Zip	:	31315-1056
Country	:	US
Telephone Number	:	912-435-6721
Fax Number	:

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

Provider Enumeration Date	:	12/19/2011
Last Update Date	:	08/18/2014

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