Atwater, Sara Elizabeth

Atwater, Sara Elizabeth is an individual health care provider with primary practice located at 600 N Wolfe St Blalock 935, Baltimore MD 21287-0005. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Atwater, Sara Elizabeth can be contacted via phone (410) 614-6222.

Contact Information

Primary practice address
600 N Wolfe St Blalock 935 Baltimore MD 21287-0005
Phone: (410) 614-6222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R160179 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R 160179 Maryland

Profile Details

NPI number 1255569125
LBN Legal business name Atwater, Sara Elizabeth
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2009
Last updated Nov 20th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255569125 NPPES
Maryland MEDICAID 026705800

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