Basic Information
Provider Information
NPI: 1235770355
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STIEGEL
FirstName: SARAH
MiddleName: ELIZABETH
NamePrefix: MRS.
NameSuffix:  
Credential: CRNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 121 MCINTOSH DR
Address2:  
City: FINLEYVILLE
State: PA
PostalCode: 153329706
CountryCode: US
TelephoneNumber: 4128779969
FaxNumber:  
Practice Location
Address1: 3840 WASHINGTON RD STE 300
Address2:  
City: MC MURRAY
State: PA
PostalCode: 153172945
CountryCode: US
TelephoneNumber: 7249413273
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/30/2019
LastUpdateDate: 09/30/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XSP020882PAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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