Yola Sara, CRNP | |
1500 Spruce St, Philadelphia, PA 19102-4502 | |
(908) 930-0968 | |
Not Available |
Full Name | Yola Sara |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1500 Spruce St, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649842923 | NPI | - | NPPES |
000000 | Other | FNP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AA0003142145 (Pennsylvania) | Secondary |
363LF0000X | Nurse Practitioner - Family | SP023986 (Pennsylvania) | Primary |
Entity Name | Methodist Associates In Healthcare, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053355131 PECOS PAC ID: 6406755651 Enrollment ID: O20040402000835 |
Mailing Address | Practice Location Address |
---|---|
Yola Sara, CRNP 1716 S 22nd St, Philadelphia, PA 19145-1946 Ph: (908) 930-0968 | Yola Sara, CRNP 1500 Spruce St, Philadelphia, PA 19102-4502 Ph: (908) 930-0968 |
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