Healthcare Provider Details

I. General information

NPI: 1881304525
Provider Name (Legal Business Name): SARAH CECELIA HARMON PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2022
Last Update Date: 09/11/2023
Certification Date: 09/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

426 8TH ST STE 305
GLEN DALE WV
26038-1451
US

IV. Provider business mailing address

1303 VALLEY VIEW AVE
WHEELING WV
26003-1433
US

V. Phone/Fax

Practice location:
  • Phone: 304-843-5041
  • Fax:
Mailing address:
  • Phone: 304-312-7035
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: