Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | 5005498 | NC |
NPI | 1154694693 |
---|---|
Provider Name | Sarah Elizabeth Wieber Croop |
First Address | Chapel Hill, NC 27599-7596 |
Second Address | Chapel Hill, NC 27599-7596 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2012 |
Last Update Date | 14/02/2012 |