Sara Jessanne Lark, FNP
Nurse Practitioner, Family in Raton, NM. Individual provider (NPI-1).
NPI number1013545110
StatusActive
Last updated in NPPESApr 1, 2020
Details
- NPI
- 1013545110
- Entity type
- Individual (NPI-1)
- Name
- Sara Jessanne Lark
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 1, 2020
- Certification date
- Apr 1, 2020
- Last updated
- Apr 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 59889 | NM | Yes |
Practice location
203 Hospital DrRaton, NM 87740-2012
Phone 575-445-7771 · Fax 575-445-7742
Mailing address
203 Hospital DrRaton, NM 87740-2012
Phone 575-445-7771 · Fax 575-445-7742
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Other Family Nurse Practitioner providers in Raton, NM
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- Aileen C Swope, DNP, FNP-BCNPI 1306132899
All 6 Family Nurse Practitioner providers in Raton · All 337 providers in Raton
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