Provider Demographics
NPI:1801543871
Name:CARNAHAN, SYDNEY (PA)
Entity type:Individual
Prefix:
First Name:SYDNEY
Middle Name:
Last Name:CARNAHAN
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:SYNDNEY
Other - Middle Name:
Other - Last Name:ARMBRUSTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:1419 VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64506-2459
Mailing Address - Country:US
Mailing Address - Phone:816-364-1507
Mailing Address - Fax:816-364-5711
Practice Address - Street 1:1419 VILLAGE DR
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506-2459
Practice Address - Country:US
Practice Address - Phone:816-364-1507
Practice Address - Fax:816-364-5711
Is Sole Proprietor?:No
Enumeration Date:2022-03-09
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant