Provider Demographics
NPI:1194482208
Name:CHOI, SARAH (FNP-BC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:CHOI
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:833 CHESTNUT ST STE 610
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-4411
Mailing Address - Country:US
Mailing Address - Phone:215-955-4344
Mailing Address - Fax:215-503-2626
Practice Address - Street 1:833 CHESTNUT ST STE 610
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-4411
Practice Address - Country:US
Practice Address - Phone:215-955-4344
Practice Address - Fax:215-503-2626
Is Sole Proprietor?:No
Enumeration Date:2021-11-23
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP024904363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily