Provider Demographics
NPI:1144563214
Name:BEEBE, SARAH LYNN SPRAGUE (CNM)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:LYNN SPRAGUE
Last Name:BEEBE
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:MISS
Other - First Name:SARAH
Other - Middle Name:LYNN
Other - Last Name:SPRAGUE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 152
Mailing Address - Street 2:1138 GEORGETOWN ROAD
Mailing Address - City:BART
Mailing Address - State:PA
Mailing Address - Zip Code:17503
Mailing Address - Country:US
Mailing Address - Phone:717-786-4010
Mailing Address - Fax:
Practice Address - Street 1:1138 GEORGETOWN RD
Practice Address - Street 2:
Practice Address - City:CHRISTIANA
Practice Address - State:PA
Practice Address - Zip Code:17509-9720
Practice Address - Country:US
Practice Address - Phone:717-786-4010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-27
Last Update Date:2013-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN646382163W00000X
DEL1-0039421163W00000X
PAMW010304367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163W00000XNursing Service ProvidersRegistered Nurse