Basic Information
Provider Information
NPI: 1447892716
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GARCIA
FirstName: SARA
MiddleName: ASHTON
NamePrefix:  
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: LENARD
OtherFirstName: SARA
OtherMiddleName: ASHTON
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 127 BEECHWOOD LN
Address2:  
City: CHAMBERSBURG
State: PA
PostalCode: 172011489
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 2120 L ST NW STE 450
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200371541
CountryCode: US
TelephoneNumber: 2027412904
FaxNumber: 2027412921
Other Information
ProviderEnumerationDate: 10/08/2019
LastUpdateDate: 10/11/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/11/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000XRN1012251DCN Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 
363LF0000XRN1012251DCY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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