Healthcare Provider Details
I. General information
NPI: 1447621925
Provider Name (Legal Business Name): SARAH WEMPE PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/09/2015
Last Update Date: 09/06/2023
Certification Date: 09/06/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
200 WOOD HILL RD
ROCKVILLE MD
20850-8724
US
IV. Provider business mailing address
13121 BROOKLANE DR
HAGERSTOWN MD
21742-1514
US
V. Phone/Fax
- Phone: 301-838-4200
- Fax:
- Phone: 301-733-0331
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | R194054 |
| License Number State | MD |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: