Healthcare Provider Details

I. General information

NPI: 1881984979
Provider Name (Legal Business Name): SARAH ZINCHIAK CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/11/2011
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 6
SUNDERLAND MD
20689-0006
US

IV. Provider business mailing address

PO BOX 6
SUNDERLAND MD
20689-0006
US

V. Phone/Fax

Practice location:
  • Phone: 301-704-2756
  • Fax:
Mailing address:
  • Phone: 301-704-2756
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberR197745
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: