Provider Demographics
NPI:1063872554
Name:ALCORN, SARAH ELIZABETH (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:ELIZABETH
Last Name:ALCORN
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Gender:F
Credentials:FNP-C
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Mailing Address - Street 1:4350 LA JOLLA VILLAGE DR
Mailing Address - Street 2:SUITE 130
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92122-1243
Mailing Address - Country:US
Mailing Address - Phone:858-678-6781
Mailing Address - Fax:858-678-6323
Practice Address - Street 1:4350 LA JOLLA VILLAGE DR
Practice Address - Street 2:SUITE 130
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92122-1243
Practice Address - Country:US
Practice Address - Phone:858-678-6781
Practice Address - Fax:858-678-6323
Is Sole Proprietor?:No
Enumeration Date:2016-02-26
Last Update Date:2017-03-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CANP95003082363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily