Provider Demographics
NPI:1992872196
Name:GOLDFINE-WARD, SARAH CHARLOTTE (CRNP)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:CHARLOTTE
Last Name:GOLDFINE-WARD
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:CHARLOTTE
Other - Last Name:GOLDFINE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1401 S 31ST ST FL 2
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19146-3506
Mailing Address - Country:US
Mailing Address - Phone:215-925-2400
Mailing Address - Fax:215-925-9162
Practice Address - Street 1:1080 N DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19125-4330
Practice Address - Country:US
Practice Address - Phone:215-621-8324
Practice Address - Fax:215-689-2854
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2019-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP007804363L00000X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner