Basic Information
| Provider Information | |||||||||
| NPI: | 1144563214 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BEEBE | ||||||||
| FirstName: | SARAH | ||||||||
| MiddleName: | LYNN SPRAGUE | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | C.N.M. | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | SPRAGUE | ||||||||
| OtherFirstName: | SARAH | ||||||||
| OtherMiddleName: | LYNN | ||||||||
| OtherNamePrefix: | MISS | ||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | |||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | P.O. BOX 152 | ||||||||
| Address2: | 1138 GEORGETOWN ROAD | ||||||||
| City: | BART | ||||||||
| State: | PA | ||||||||
| PostalCode: | 17503 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7177864010 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1138 GEORGETOWN RD | ||||||||
| Address2: | |||||||||
| City: | CHRISTIANA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 175099720 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7177864010 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/27/2013 | ||||||||
| LastUpdateDate: | 03/27/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| AuthorizedOfficialMiddleName: | |||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | RN646382 | PA | N | Nursing Service Providers | Registered Nurse | 163W00000X | L1-0039421 | DE | N | Nursing Service Providers | Registered Nurse | 367A00000X | MW010304 | PA | Y | Physician Assistants & Advanced Practice Nursing Providers | Advanced Practice Midwife |
No ID Information.