| NPI | 1164752713 |
|---|---|
| Former Name | SARAH FELLENZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9171914) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 4343) |
| 363L00000X Nurse Practitioner (Licence: FL ARNP9171914) | |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2019-11-15 |