Provider Demographics
NPI:1740683093
Name:TYNDALL, SARAH (NP-C)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:TYNDALL
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2167 HUNTINGTON LN
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18040-8400
Mailing Address - Country:US
Mailing Address - Phone:973-393-2496
Mailing Address - Fax:
Practice Address - Street 1:181 PASSAIC AVE
Practice Address - Street 2:
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901-1200
Practice Address - Country:US
Practice Address - Phone:908-897-4056
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-01
Last Update Date:2022-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00525500363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily