Provider Demographics
NPI:1790035509
Name:FOLK, SARAH BURDEN (FNP-BC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:BURDEN
Last Name:FOLK
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:ELIZABETH
Other - Last Name:BURDEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:2880 TRICOM ST
Mailing Address - Street 2:
Mailing Address - City:N CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29406-9171
Mailing Address - Country:US
Mailing Address - Phone:843-797-5050
Mailing Address - Fax:843-797-3633
Practice Address - Street 1:2880 TRICOM ST
Practice Address - Street 2:
Practice Address - City:N CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-9171
Practice Address - Country:US
Practice Address - Phone:843-797-5050
Practice Address - Fax:843-797-3633
Is Sole Proprietor?:No
Enumeration Date:2012-09-19
Last Update Date:2020-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC18026363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCDU4331OtherARCIS HEALTHCARE GROUP RAILROAD MEDICARE PTAN
SC1902246077OtherARCIS HEALTHCARE GROUP NPI
SCD043OtherARCIS HEALTHCARE MEDICARE PTAN
SCGP6337OtherARCIS HEALTHCARE MEDICAID GROUP LEGACY NO.
SCNP2969Medicaid
SCP01297621OtherRAILROAD MEDICARE PTAN
SCDU4331OtherARCIS HEALTHCARE GROUP RAILROAD MEDICARE PTAN
SC1902246077OtherARCIS HEALTHCARE GROUP NPI
SCDU4331OtherARCIS HEALTHCARE GROUP RAILROAD MEDICARE PTAN
SCGP6337OtherARCIS HEALTHCARE MEDICAID GROUP LEGACY NO.
SCNP2969Medicaid
SCP01297621OtherRAILROAD MEDICARE PTAN
SC46-2535418OtherARCIS HEALTHCARE TIN