Healthcare Provider Details
I. General information
NPI: 1639822935
Provider Name (Legal Business Name): SARAH BESS WALKER CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/27/2022
Last Update Date: 12/30/2024
Certification Date: 12/30/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5230 CENTRE AVE
PITTSBURGH PA
15232-1304
US
IV. Provider business mailing address
3500 VICTORIA ST BLDG 360A
PITTSBURGH PA
15213-2543
US
V. Phone/Fax
- Phone: 412-623-2121
- Fax:
- Phone: 888-747-0794
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WC0200X |
| Taxonomy | Critical Care Medicine Registered Nurse |
| License Number | 10968896-3102 |
| License Number State | UT |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 367500000X |
| Taxonomy | Certified Registered Nurse Anesthetist |
| License Number | 152944 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: