Individual provider · Type 1 NPI

Sarah Soroosh Vandergoot, FNP

Nurse Practitioner · Cornelius, NC

NPI number 1679037071 Active

Practice location

19485 Old Jetton Rd Ste 100
Cornelius, NC 28031-6583

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X5011537 (NC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1679037071

Sarah Soroosh Vandergoot, FNP's National Provider Identifier is 1679037071, issued on Jan 30, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Cornelius, NC. The record was last updated on Oct 26, 2020.