Provider Demographics
NPI:1649603531
Name:GROSE, SARAH MICHELLE (PA-C)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:MICHELLE
Last Name:GROSE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:MICHELLE
Other - Last Name:REED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:780 W LINCOLN HWY
Mailing Address - Street 2:THE COMMONS AT OAKLANDS
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2547
Mailing Address - Country:US
Mailing Address - Phone:610-873-1188
Mailing Address - Fax:610-873-1388
Practice Address - Street 1:780 W LINCOLN HWY
Practice Address - Street 2:THE COMMONS AT OAKLANDS
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2547
Practice Address - Country:US
Practice Address - Phone:610-873-1188
Practice Address - Fax:610-873-1388
Is Sole Proprietor?:No
Enumeration Date:2013-08-14
Last Update Date:2015-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical