Provider Demographics
NPI:1376157016
Name:MCEWEN, SARAH ABIGAIL (PMHNP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ABIGAIL
Last Name:MCEWEN
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9937 S WATSON RUN RD
Mailing Address - Street 2:
Mailing Address - City:MEADVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16335-7247
Mailing Address - Country:US
Mailing Address - Phone:814-602-9989
Mailing Address - Fax:
Practice Address - Street 1:9937 S WATSON RUN RD
Practice Address - Street 2:
Practice Address - City:MEADVILLE
Practice Address - State:PA
Practice Address - Zip Code:16335-7247
Practice Address - Country:US
Practice Address - Phone:814-602-9989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-01
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN672125163WP0808X
PASP022708363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental HealthGroup - Multi-Specialty