Provider Demographics
NPI:1407629207
Name:LAMONICA, SARA K (WHNP)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:K
Last Name:LAMONICA
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4735 OGLETOWN STANTON RD STE 1109
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2089
Mailing Address - Country:US
Mailing Address - Phone:302-623-4175
Mailing Address - Fax:302-623-3841
Practice Address - Street 1:4735 OGLETOWN STANTON RD STE 1109
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-2089
Practice Address - Country:US
Practice Address - Phone:302-623-4175
Practice Address - Fax:302-623-3841
Is Sole Proprietor?:No
Enumeration Date:2023-11-02
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH089859-21163W00000X
DELH-0010281363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163W00000XNursing Service ProvidersRegistered Nurse