Healthcare Provider Details

I. General information

NPI: 1386564524
Provider Name (Legal Business Name): SARAH ELIZABETH BOVARD SENIOW CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5533 WALNUT ST STE 3
PITTSBURGH PA
15232-2376
US

IV. Provider business mailing address

5533 WALNUT ST STE 3
PITTSBURGH PA
15232-2376
US

V. Phone/Fax

Practice location:
  • Phone: 412-436-9886
  • Fax: 412-213-4613
Mailing address:
  • Phone: 412-436-9886
  • Fax: 412-213-4613

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP036487
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: