Provider Demographics
NPI:1972005783
Name:EATON, SARAH J (CNM, WHNP-BC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:J
Last Name:EATON
Suffix:
Gender:F
Credentials:CNM, WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4745 OGLETOWN STANTON RD, MAP 1, SUITE 106
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713
Mailing Address - Country:US
Mailing Address - Phone:302-454-9800
Mailing Address - Fax:302-224-4887
Practice Address - Street 1:4745 OGLETOWN STANTON RD, MAP 1, SUITE 106
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713
Practice Address - Country:US
Practice Address - Phone:302-454-9800
Practice Address - Fax:302-224-4887
Is Sole Proprietor?:No
Enumeration Date:2018-03-07
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR206204176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife