Provider Demographics
NPI:1851010342
Name:PEET, SARAH C (CRNP)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:C
Last Name:PEET
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MISS
Other - First Name:SARAH
Other - Middle Name:C
Other - Last Name:GARDNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2706 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:PARKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-5611
Mailing Address - Country:US
Mailing Address - Phone:443-286-7362
Mailing Address - Fax:
Practice Address - Street 1:4924 CAMPBELL BLVD STE 200
Practice Address - Street 2:
Practice Address - City:NOTTINGHAM
Practice Address - State:MD
Practice Address - Zip Code:21236-5914
Practice Address - Country:US
Practice Address - Phone:443-286-7362
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-26
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR226045363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health