Healthcare Provider Details

I. General information

NPI: 1316395023
Provider Name (Legal Business Name): SARAH MARLEY PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH SAXON PA-C

II. Dates (important events)

Enumeration Date: 06/03/2016
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 COMMERCE DR STE G
QUARRYVILLE PA
17566-9723
US

IV. Provider business mailing address

734 N FRANKLIN ST
LANCASTER PA
17602-2176
US

V. Phone/Fax

Practice location:
  • Phone: 717-786-1202
  • Fax:
Mailing address:
  • Phone: 717-295-7109
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberMA058355
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: