Individual
SARAH BULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP, AGNP-C
Contact information
Practice address
638 NEWTOWN YARDLEY RD STE 2E, NEWTOWN, PA 18940-1738
(215) 968-1616
(215) 860-1976
Mailing address
112 MAPLE SHADE AVE, WASHINGTON CROSSING, PA 18977-1440
(410) 215-4837
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN669325
PA
363LP2300X
Primary Care Nurse Practitioner
Primary
SP023678
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56-2424638
FAMILY PRACTICE TAX ID
PA
Enumeration date
04/22/2021
Last updated
05/04/2021
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