Provider Demographics
NPI:1841727328
Name:RAVELLI, SARAH (ARNP-C)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:RAVELLI
Suffix:
Gender:F
Credentials:ARNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4605 ROTHSCHILD DR
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33067-4137
Mailing Address - Country:US
Mailing Address - Phone:330-277-1131
Mailing Address - Fax:
Practice Address - Street 1:1898 W HILLSBORO BLVD STE H
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442-1434
Practice Address - Country:US
Practice Address - Phone:954-571-9392
Practice Address - Fax:954-289-4888
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-16
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9313961363LP2300X
FLAPRN9313961363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care