Healthcare Provider Details

I. General information

NPI: 1790734689
Provider Name (Legal Business Name): SARAH MARIE YODER CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH MARIE MARENGHI CRNP

II. Dates (important events)

Enumeration Date: 05/08/2006
Last Update Date: 01/10/2022
Certification Date: 01/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 MONUMENT RD SUITE 140
YORK PA
17403-5060
US

IV. Provider business mailing address

1803 MT ROSE AVE SUITE B3
YORK PA
17403-3051
US

V. Phone/Fax

Practice location:
  • Phone: 717-741-8003
  • Fax: 717-741-8016
Mailing address:
  • Phone: 717-851-1405
  • Fax: 717-741-8016

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN1005306
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberSP009874
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: