Provider Demographics
NPI:1285416594
Name:FLICK, SARAH (CNM WHNP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:FLICK
Suffix:
Gender:F
Credentials:CNM WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2308 PITT AVE
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15905-1609
Mailing Address - Country:US
Mailing Address - Phone:267-563-0395
Mailing Address - Fax:
Practice Address - Street 1:152 ZEMAN DR
Practice Address - Street 2:
Practice Address - City:EBENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15931-4130
Practice Address - Country:US
Practice Address - Phone:814-471-2217
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-20
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMW010759367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife