Basic Information
Provider Information
NPI: 1952915258
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DAVISON-CAREY
FirstName: SARAH
MiddleName: MARIE
NamePrefix:  
NameSuffix:  
Credential: CRNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 115 PARK PLACE DR
Address2:  
City: READING
State: PA
PostalCode: 196089779
CountryCode: US
TelephoneNumber: 4847971206
FaxNumber:  
Practice Location
Address1: 838 PENN ST
Address2:  
City: READING
State: PA
PostalCode: 196021108
CountryCode: US
TelephoneNumber: 6109884838
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/03/2020
LastUpdateDate: 09/03/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/03/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000XSP022439PAY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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