Provider Demographics
NPI:1730263351
Name:HOWARD, SARA (CRNP)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:HOWARD
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 MEDICAL PARK
Mailing Address - Street 2:SUITE 221
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003
Mailing Address - Country:US
Mailing Address - Phone:304-243-8850
Mailing Address - Fax:304-243-8637
Practice Address - Street 1:30 MEDICAL PARK
Practice Address - Street 2:SUITE 221
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003
Practice Address - Country:US
Practice Address - Phone:304-243-8850
Practice Address - Fax:304-243-8637
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP009180363LP0200X
WVAPRN77971363LP0200X
OHAPRN.CNP.11534363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3069674Medicaid
PASP009180OtherCRNP LICENSE