Provider Demographics
NPI:1235896523
Name:O'BRIEN, SARA (MSN, FNP-C, TCRN)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:O'BRIEN
Suffix:
Gender:F
Credentials:MSN, FNP-C, TCRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 COLGATE LN
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711-3132
Mailing Address - Country:US
Mailing Address - Phone:609-827-5415
Mailing Address - Fax:
Practice Address - Street 1:744 S PHILADELPHIA BLVD STE B
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:MD
Practice Address - Zip Code:21001-3655
Practice Address - Country:US
Practice Address - Phone:443-345-2650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-21
Last Update Date:2021-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDAC004061363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily