=====================================================
General NPI Number Information
=====================================================
NPI Number | 1609728591
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SARAH UNDERWOOD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/12/2026
-----------------------------------------------------
Last Update Date | 02/12/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 372 W LANCASTER AVE
-----------------------------------------------------
City | WAYNE
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19087-3924
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 610-688-8807
-----------------------------------------------------
Fax | 484-581-7931
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 145 GWYNMONT DR
-----------------------------------------------------
City | NORTH WALES
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19454-1812
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-378-1449
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163W00000X
-----------------------------------------------------
Taxonomy Name | Registered Nurse
-----------------------------------------------------
License Number | RN634847
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------