Provider Demographics
NPI:1104223007
Name:ABBO, SARA BETH (CRNP)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:BETH
Last Name:ABBO
Suffix:
Gender:F
Credentials:CRNP
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Mailing Address - Street 1:3400 CIVIC CENTER BLVD
Mailing Address - Street 2:2 WEST
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-5127
Mailing Address - Country:US
Mailing Address - Phone:215-615-0062
Mailing Address - Fax:215-349-8144
Practice Address - Street 1:537 STANTON CHRISTIANA RD
Practice Address - Street 2:SUITE 201
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-2146
Practice Address - Country:US
Practice Address - Phone:302-994-9692
Practice Address - Fax:302-994-9803
Is Sole Proprietor?:No
Enumeration Date:2014-11-21
Last Update Date:2019-11-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PASP016120363LF0000X
DELG-0000797363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily