Healthcare Provider Details

I. General information

NPI: 1033340443
Provider Name (Legal Business Name): SARAH ELIZABETH UPDEGRAFT CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2009
Last Update Date: 01/30/2023
Certification Date: 01/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1508 W 7TH ST
WILMINGTON DE
19805-3110
US

IV. Provider business mailing address

1508 W 7TH ST
WILMINGTON DE
19805-3110
US

V. Phone/Fax

Practice location:
  • Phone: 302-658-2229
  • Fax: 302-658-2382
Mailing address:
  • Phone: 302-658-2229
  • Fax: 302-658-2382

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberLK-0000151
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: