Healthcare Provider Details
I. General information
NPI: 1639522626
Provider Name (Legal Business Name): SARAH RUMMEL CRNP,FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/14/2016
Last Update Date: 11/20/2020
Certification Date: 11/20/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
107 GAMMA DR SUITE 210
PITTSBURGH PA
15238-2917
US
IV. Provider business mailing address
600 CLEMENTS BRIDGE RD
BARRINGTON NJ
08007-1814
US
V. Phone/Fax
- Phone: 412-963-6677
- Fax:
- Phone: 856-547-8020
- Fax: 856-547-1008
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | SP016293 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: