MEDICARE: SARAH E. FARRELL CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2100X	Acute Care Nurse Practitioner	SP009004	PA

General Provider Information

NPI Number	:	1811933559
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH E. FARRELL CRNP

Provider Business Mailing Address
First Line	:	1010 W LEHIGH AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19133-1640
Country	:	US
Telephone Number	:	267-273-7000
Fax Number	:	267-273-7057

Provider Business Practice Location Address
First Line	:	1010 W LEHIGH AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19133-1640
Country	:	US
Telephone Number	:	267-273-7000
Fax Number	:	267-273-7057

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2006
Last Update Date	:	02/10/2015

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