MEDICARE: MS. SARAH CRISTIN BITTLE CRNP-PEDIATRICS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WP0200X	Pediatric Registered Nurse	R217523	MD
2	363LP0200X	Pediatric Nurse Practitioner	R217523	MD

General Provider Information

NPI Number	:	1285236554
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SARAH CRISTIN BITTLE CRNP-PEDIATRICS

Provider Business Mailing Address
First Line	:	9218 LONG BRANCH PKWY
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20901-3641
Country	:	US
Telephone Number	:	571-225-1047
Fax Number	:

Provider Business Practice Location Address
First Line	:	8720 CARROLL AVE
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20903-3149
Country	:	US
Telephone Number	:	240-740-1570
Fax Number	:	301-431-6018

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/12/2020
Last Update Date	:	10/12/2022

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