Provider Demographics
NPI:1629089925
Name:FOSTER-CHANG, SARAH AMANDA (CRNP, NPC)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:AMANDA
Last Name:FOSTER-CHANG
Suffix:
Gender:F
Credentials:CRNP, NPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 TALL TREES DR
Mailing Address - Street 2:
Mailing Address - City:BALA CYNWYD
Mailing Address - State:PA
Mailing Address - Zip Code:19004-2720
Mailing Address - Country:US
Mailing Address - Phone:215-823-4111
Mailing Address - Fax:215-823-5968
Practice Address - Street 1:3900 WOODLAND AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4551
Practice Address - Country:US
Practice Address - Phone:215-823-4111
Practice Address - Fax:215-823-5968
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAVP000887C363LX0106X
NJ363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered363LX0106XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerOccupational Health
Not Answered363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health