Provider Demographics
NPI:1285236554
Name:BITTLE, SARAH CRISTIN (CRNP-PEDIATRICS)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:CRISTIN
Last Name:BITTLE
Suffix:
Gender:F
Credentials:CRNP-PEDIATRICS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:9218 LONG BRANCH PKWY
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-3641
Mailing Address - Country:US
Mailing Address - Phone:571-225-1047
Mailing Address - Fax:
Practice Address - Street 1:8720 CARROLL AVE
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20903-3149
Practice Address - Country:US
Practice Address - Phone:240-740-1570
Practice Address - Fax:301-431-6018
Is Sole Proprietor?:No
Enumeration Date:2020-11-12
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDR217523163WP0200X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163WP0200XNursing Service ProvidersRegistered NursePediatrics