Individual provider · Type 1 NPI
Sara Dickerson, FNP-C
Primary Care Nurse Practitioner · Gold Beach, OR
NPI number
1659616571
Active
Practice location
29984 Ellensburg Ave
Gold Beach, OR 97444
Mailing address
PO Box 493
Gold Beach, OR 97444-0493
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Wound Care Registered Nurse | 163WW0000X | 201041867RN (OR) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | F06192407 (OR) |
Primary Care Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1659616571
Sara Dickerson, FNP-C's National Provider Identifier is 1659616571, issued on Dec 4, 2012. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Gold Beach, OR. The record was last updated on Oct 27, 2020.