Healthcare Provider Details
I. General information
NPI: 1205448818
Provider Name (Legal Business Name): EMILY A SARVER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/17/2020
Last Update Date: 10/06/2023
Certification Date: 10/06/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
266 LANCASTER AVE STE 303
MALVERN PA
19355-3256
US
IV. Provider business mailing address
PO BOX 5228
WEST CHESTER PA
19380-0405
US
V. Phone/Fax
- Phone: 610-644-6900
- Fax: 484-329-7481
- Phone: 610-359-5672
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | SP022324 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | SP022324 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: