Provider Demographics
NPI:1164938452
Name:CONDON, SARAH (FNP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:CONDON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1486 BUCHANAN VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:ORRTANNA
Mailing Address - State:PA
Mailing Address - Zip Code:17353-9549
Mailing Address - Country:US
Mailing Address - Phone:302-547-5769
Mailing Address - Fax:
Practice Address - Street 1:728 NORRISTOWN RD
Practice Address - Street 2:
Practice Address - City:LOWER GWYNEDD
Practice Address - State:PA
Practice Address - Zip Code:19002-2125
Practice Address - Country:US
Practice Address - Phone:877-345-5300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-21
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP020123363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner