Doctor Name: | MS. SARA ELIZABETH WRIGHT |
NPI Number: | 1104989094 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, CRNP |
License Number: | SP-001133-H |
Business Practice Address: | 173 Clover Valley Rd Kutztown, PA - 195309171 |
Business Phone Number: | 6106836987 |
Business Fax Number: | 6106835839 |
Mailing Address: | 173 Clover Valley Rd, KUTZTOWN |
State: | PA |
Postal Code: | 195309171 |
Phone Number: | 6106836987 |
Fax Number: | 6106835839 |
NPI Enumeration Date: | 12/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | SP-001133-H |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |