Provider Demographics
NPI:1790734689
Name:YODER, SARAH MARIE (CRNP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:MARIE
Last Name:YODER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MRS
Other - First Name:SARAH
Other - Middle Name:MARIE
Other - Last Name:MARENGHI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:1803 MT ROSE AVE
Mailing Address - Street 2:SUITE B3
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-3051
Mailing Address - Country:US
Mailing Address - Phone:717-851-1405
Mailing Address - Fax:717-741-8016
Practice Address - Street 1:25 MONUMENT RD
Practice Address - Street 2:SUITE 140
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-5060
Practice Address - Country:US
Practice Address - Phone:717-741-8003
Practice Address - Fax:717-741-8016
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN1005306363L00000X
PASP009874363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA211820OtherJOHNS HOPKINS
PA1577481OtherGATEWAY-WMG
PA50079531OtherCAPTIAL BLUE CROSS-WMG
PA2075059OtherHIGHMARK BLUE SHIELD
MD935535OtherCAREFIRST MD BCBS
PA2075059OtherHIGHMARK BLUE SHIELD