Healthcare Provider Details

I. General information

NPI: 1396398210
Provider Name (Legal Business Name): SARAH FALVO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2019
Last Update Date: 06/30/2022
Certification Date: 06/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 CENTRAL AVE STE 200
MALVERN PA
19355-3265
US

IV. Provider business mailing address

1127 VERNON WAY
WEST CHESTER PA
19380-1775
US

V. Phone/Fax

Practice location:
  • Phone: 484-889-9685
  • Fax:
Mailing address:
  • Phone: 484-889-9685
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP021213
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN672930
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: