Healthcare Provider Details

I. General information

NPI: 1578943304
Provider Name (Legal Business Name): SARAH HIGH CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2015
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5700 SMITH AVE UNIT 302
BALTIMORE MD
21209-3610
US

IV. Provider business mailing address

5700 SMITH AVE UNIT 302
BALTIMORE MD
21209-3610
US

V. Phone/Fax

Practice location:
  • Phone: 443-637-6120
  • Fax: 443-734-1968
Mailing address:
  • Phone: 443-637-6120
  • Fax: 443-734-1968

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR195508
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: