Individual
SARA CHUBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
614 S TANEY ST, PHILADELPHIA, PA 19146-2306
(717) 880-8527
Mailing address
614 S TANEY ST, PHILADELPHIA, PA 19146-2306
(717) 880-8527
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN754525
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
155173
PA
Other
Enumeration date
08/09/2024
Last updated
05/20/2025
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