Individual provider · Type 1 NPI
Sara Reardon, CPNP
Pediatric Nurse Practitioner · Philadelphia, PA
NPI number
1225527203
Active
Practice location
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Mailing address
500 Admirals Way Apt 110
Philadelphia, PA 19146-5224
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | SP018785 (PA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1225527203
Sara Reardon, CPNP's National Provider Identifier is 1225527203, issued on May 6, 2018. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Philadelphia, PA. The record was last updated on May 6, 2018.