Provider Demographics
NPI:1396525523
Name:DRUDI, SARA AUGUSTA (CRNP-ARNP-PMHNP-BC)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:AUGUSTA
Last Name:DRUDI
Suffix:
Gender:F
Credentials:CRNP-ARNP-PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7410 VILLAGE RD APT 7
Mailing Address - Street 2:
Mailing Address - City:SYKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21784-7486
Mailing Address - Country:US
Mailing Address - Phone:410-707-1083
Mailing Address - Fax:
Practice Address - Street 1:188 THOMAS JOHNSON DR STE 202
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-5122
Practice Address - Country:US
Practice Address - Phone:301-378-0178
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-04
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR187933363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health