Individual
SARA REARDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
Mailing address
500 ADMIRALS WAY APT 110, PHILADELPHIA, PA 19146-5224
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP018785
PA
Other
Enumeration date
05/06/2018
Last updated
05/06/2018
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