Healthcare Provider Details

I. General information

NPI: 1427142553
Provider Name (Legal Business Name): SARA CATHERINE ADELMAN CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 03/17/2022
Certification Date: 03/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

277 PENINSULA FARM RD STE I
ARNOLD MD
21012-1018
US

IV. Provider business mailing address

116 DEFENSE HWY SUITE 400
ANNAPOLIS MD
21401-7027
US

V. Phone/Fax

Practice location:
  • Phone: 410-989-8833
  • Fax: 410-975-5641
Mailing address:
  • Phone: 410-897-9841
  • Fax: 410-897-9852

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberR158779
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: