Provider Demographics
NPI:1053663617
Name:FIEDLER, SARAH NICOLE (FNP-C)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:NICOLE
Last Name:FIEDLER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 LEWISBURG LN
Mailing Address - Street 2:
Mailing Address - City:MARTINSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:25403-1304
Mailing Address - Country:US
Mailing Address - Phone:304-263-2049
Mailing Address - Fax:
Practice Address - Street 1:16305 ELLIOTT PKWY
Practice Address - Street 2:
Practice Address - City:WILLIAMSPORT
Practice Address - State:MD
Practice Address - Zip Code:21795-4081
Practice Address - Country:US
Practice Address - Phone:240-313-3818
Practice Address - Fax:240-673-3823
Is Sole Proprietor?:No
Enumeration Date:2012-10-08
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDAC002312363LF0000X
VA0024170413363LF0000X
WV79134363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily