Healthcare Provider Details

I. General information

NPI: 1689867665
Provider Name (Legal Business Name): SARAH A YOURD CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2007
Last Update Date: 05/14/2021
Certification Date: 04/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

733 WASHINGTON RD SUITE 401
PITTSBURGH PA
15228-2022
US

IV. Provider business mailing address

1000 BOWER HILL ROAD ST CLAIR HOSPITAL - AFFILIATE BILLING - PAMALYN
PITTSBURGH PA
15243-1873
US

V. Phone/Fax

Practice location:
  • Phone: 412-343-1770
  • Fax: 412-344-6539
Mailing address:
  • Phone: 429-422-5484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP009501
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: