Healthcare Provider Details

I. General information

NPI: 1699107490
Provider Name (Legal Business Name): SARAH ELIZABETH FRASER CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2013
Last Update Date: 07/21/2022
Certification Date: 04/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1245 S CEDAR CREST BLVD STE 201
ALLENTOWN PA
18103-6258
US

IV. Provider business mailing address

1138 GEORGETOWN RD
CHRISTIANA PA
17509-9720
US

V. Phone/Fax

Practice location:
  • Phone: 610-402-4870
  • Fax:
Mailing address:
  • Phone: 717-786-4010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberTLRN041676
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number663175
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberMW010319
License Number StatePA
# 4
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberMW010319
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: