Healthcare Provider Details

I. General information

NPI: 1639771967
Provider Name (Legal Business Name): SARAH HOOVER RN, MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH PELES

II. Dates (important events)

Enumeration Date: 11/11/2020
Last Update Date: 01/13/2025
Certification Date: 01/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 DOCTORS LN STE 304
CLARION PA
16214-8568
US

IV. Provider business mailing address

24 DOCTORS LN STE 304
CLARION PA
16214-8568
US

V. Phone/Fax

Practice location:
  • Phone: 833-684-1896
  • Fax:
Mailing address:
  • Phone: 833-684-1896
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberSP027389
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN684604
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: