Individual
SARAH HALLOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(443) 807-9569
Mailing address
570 FOUNTAIN ST, PHILADELPHIA, PA 19128-2402
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP024226
PA
Other
Enumeration date
08/21/2021
Last updated
08/21/2021
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