Healthcare Provider Details

I. General information

NPI: 1649553462
Provider Name (Legal Business Name): SARAH MARIE KLINE CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS SARAH MARIE DRAYER

II. Dates (important events)

Enumeration Date: 09/28/2011
Last Update Date: 08/16/2024
Certification Date: 08/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

816 MIDDLE ST
PITTSBURGH PA
15212-4915
US

IV. Provider business mailing address

816 MIDDLE ST
PITTSBURGH PA
15212-4915
US

V. Phone/Fax

Practice location:
  • Phone: 412-321-4001
  • Fax: 412-321-4063
Mailing address:
  • Phone: 412-321-4001
  • Fax: 412-321-4063

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP011586
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: