Skip Navigation

Provider Information for 1295165850

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

SARA ABERCROMBIE APRN

Gender: FEMALE

Individual NPI: 1295165850

Calendar   Last Updated:  2020-03-11
  Certification Date:  2020-03-11

Details

Name Value
NPI 1295165850
Enumeration Date 2013-11-19
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 10051 5TH ST N STE 200
ST PETERSBURG, FL 33702-2211
United States

Phone: 727-824-0780 | Fax: 813-514-8891
View Map External Link
Primary Practice Address 10051 5TH ST N STE 200
ST PETERSBURG, FL 33702-2211
United States

Phone: 727-824-0780 | Fax: 813-514-8891
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
MEDICAID FL 024059700
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 363LF0000X - Nurse Practitioner Family FL APRN9445364