Provider Demographics
NPI:1255535316
Name:BOBEN, SARA M (CRNP)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:M
Last Name:BOBEN
Suffix:
Gender:F
Credentials:CRNP
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Mailing Address - Street 1:34TH & CIVIC CENTER BOULEVARD
Mailing Address - Street 2:CHILDREN'S HOSPITAL OF PHILADELPHIA, CARDIAC CENTER
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104
Mailing Address - Country:US
Mailing Address - Phone:267-239-7130
Mailing Address - Fax:215-590-6690
Practice Address - Street 1:34TH STREET & CIVIC CENTER BOULEVARD
Practice Address - Street 2:CHILDREN'S HOSPITAL OF PHILADELPHIA, CARDIAC CENTER
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-5127
Practice Address - Country:US
Practice Address - Phone:267-239-7130
Practice Address - Fax:215-590-6690
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2015-10-08
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Provider Licenses
StateLicense IDTaxonomies
PASP009247363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care