Provider Demographics
NPI:1982664991
Name:BENDER, SARA JANE (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:JANE
Last Name:BENDER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:JANE
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:140 S, JEFFERSON STREET
Mailing Address - Street 2:CASCADE GALLERIA
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16101
Mailing Address - Country:US
Mailing Address - Phone:724-658-5666
Mailing Address - Fax:724-658-6883
Practice Address - Street 1:2 CASCADE GALLERIA PLAZA
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16101
Practice Address - Country:US
Practice Address - Phone:724-658-6681
Practice Address - Fax:724-658-6883
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-24
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN537125163W00000X
PASP008061363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1991407OtherHIGHMARK
Q15058Medicare UPIN