Healthcare Provider Details

I. General information

NPI: 1508576927
Provider Name (Legal Business Name): SARAH MCDONALD MSN, CRNP-PMH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2022
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3175 W WARD RD
DUNKIRK MD
20754-3020
US

IV. Provider business mailing address

959 FAIRWOOD LN
PRINCE FREDERICK MD
20678-4175
US

V. Phone/Fax

Practice location:
  • Phone: 410-286-0664
  • Fax:
Mailing address:
  • Phone: 301-801-8359
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberR245903
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR245903
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: