Individual provider · Type 1 NPI
Sarah League Lycan, CRNP
Adult Health Nurse Practitioner · Winston Salem, NC
NPI number
1144559303
Active
Practice location
Medical Center Blvd
Winston Salem, NC 27157-0001
Fax (336) 716-9016
Mailing address
PO Box 602658
Charlotte, NC 28260-2658
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 5005689 (NC) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1144559303
Sarah League Lycan, CRNP's National Provider Identifier is 1144559303, issued on Dec 17, 2009. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Winston Salem, NC. The record was last updated on Oct 5, 2012.