Healthcare Provider Details

I. General information

NPI: 1447163092
Provider Name (Legal Business Name): SARAH ELISE STANTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4044 ROUTE 130 STE 200
IRWIN PA
15642-7808
US

IV. Provider business mailing address

4044 ROUTE 130 STE 200
IRWIN PA
15642-7808
US

V. Phone/Fax

Practice location:
  • Phone: 724-744-2500
  • Fax: 724-744-3338
Mailing address:
  • Phone: 724-744-2500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberSP036620
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: