Provider Demographics
NPI:1033340443
Name:UPDEGRAFT, SARAH ELIZABETH (CNM)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:ELIZABETH
Last Name:UPDEGRAFT
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1508 W 7TH ST
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19805-3110
Mailing Address - Country:US
Mailing Address - Phone:302-658-2229
Mailing Address - Fax:302-658-2382
Practice Address - Street 1:1508 W 7TH ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19805-3110
Practice Address - Country:US
Practice Address - Phone:302-658-2229
Practice Address - Fax:302-658-2382
Is Sole Proprietor?:No
Enumeration Date:2009-08-03
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELK-0000151367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY06039683Medicaid
DE1144210675Medicaid
DE1215055033Medicaid
DE1902975659Medicaid
DE1922097906Medicaid
DE1316907728Medicaid