Healthcare Provider Details

I. General information

NPI: 1356199871
Provider Name (Legal Business Name): SARAH WALDHORN CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2024
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1098 W BALTIMORE PIKE STE 3106
MEDIA PA
19063-5139
US

IV. Provider business mailing address

3803 W CHESTER PIKE STE 160
NEWTOWN SQUARE PA
19073-2336
US

V. Phone/Fax

Practice location:
  • Phone: 610-891-6240
  • Fax: 610-891-6244
Mailing address:
  • Phone: 610-891-6240
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberMW010786
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: