Basic Information
| Provider Information | |||||||||
| NPI: | 1699107490 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FRASER | ||||||||
| FirstName: | SARAH | ||||||||
| MiddleName: | ELIZABETH | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | CNM | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1138 GEORGETOWN RD | ||||||||
| Address2: | |||||||||
| City: | CHRISTIANA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 175099720 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7177864010 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1245 S CEDAR CREST BLVD STE 201 | ||||||||
| Address2: | |||||||||
| City: | ALLENTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 181036258 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6104024870 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/02/2013 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/07/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | TLRN041676 | PA | N | Nursing Service Providers | Registered Nurse | 163W00000X | 663175 | CA | N | Nursing Service Providers | Registered Nurse | 176B00000X | MW010319 | PA | N | Other Service Providers | Midwife | 367A00000X | MW010319 | PA | Y | Physician Assistants & Advanced Practice Nursing Providers | Advanced Practice Midwife |
No ID Information.