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DR. SARA BRALEY COPELAND DNP, ARNP, IBCLC

Pediatrics >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1861840670

Individual Registrant:
DR. SARA BRALEY COPELAND DNP, ARNP, IBCLC
Gender: F
Not Sole Proprietor

Location and contact information for practice:
133 SW 130TH WAY SUITE C NEWBERRY, FL 32669-0015 US
Tel: 352-733-7337  Fax: 352-672-4567

Contact information for business:
133 SW 130TH WAY SUITE C NEWBERRY, FL 32669-0015 US
Tel: 352-733-7337  Fax: 352-672-4567

Registration Information:
NPI: 1861840670
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LP0200XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Pediatrics
FLARNP9354909

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
018206800FL05




HEALTH CARE JOBS FL - Page 1



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