Provider Demographics
NPI:1376190777
Name:BEAN, SARA ELIZABETH (PA-C)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:ELIZABETH
Last Name:BEAN
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:601 SPRUCE ST
Mailing Address - Street 2:
Mailing Address - City:WEST READING
Mailing Address - State:PA
Mailing Address - Zip Code:19611-1443
Mailing Address - Country:US
Mailing Address - Phone:484-628-8900
Mailing Address - Fax:610-375-1203
Practice Address - Street 1:601 SPRUCE ST
Practice Address - Street 2:
Practice Address - City:WEST READING
Practice Address - State:PA
Practice Address - Zip Code:19611-1443
Practice Address - Country:US
Practice Address - Phone:484-628-8900
Practice Address - Fax:610-375-1203
Is Sole Proprietor?:No
Enumeration Date:2019-08-20
Last Update Date:2022-01-04
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical