Individual
SARAH ELIZABETH NELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
490 E NORTH AVE STE 309, PITTSBURGH, PA 15212-4740
(412) 442-2522
Mailing address
490 E NORTH AVE STE 309, PITTSBURGH, PA 15212-4740
(412) 442-2522
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA059182
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14094303
CAQH
—
Enumeration date
06/15/2017
Last updated
01/24/2022
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