National Provider Identifier

Phila M Sasenbury

Phila M Sasenbury is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Elmira, NY and a listed phone number of (607) 271-3780.

NPI 1336669043Elmira, NYFamily Nurse Practitioner

Profile Overview

NPI
1336669043
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
June 23, 2017
Last Updated
November 30, 2020

Practice Location

  • 600 Roe Ave Ste 4A
  • Elmira, NY 14905-1629

Phone: (607) 271-3780

Mailing Address

  • 571 Saint Josephs Blvd Fl 2
  • Elmira, NY 14901-3230

Specialties

  • Family Nurse Practitioner (363LF0000X)
  • Registered Nurse (163W00000X)
Full Record
NPI
1336669043
Entity Type
Individual
Last Name
Sasenbury
First Name
Phila
Middle Name
M
Provider Other Last Name
Gilbert
Provider Other First Name
Phila
Provider Other Middle Name
M
Provider Other Last Name Type Code
5
Mailing Street Address
571 Saint Josephs Blvd Fl 2
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14901-3230
Mailing Country
US
Mailing Phone
(607) 271-2050
Practice Street Address
600 Roe Ave Ste 4A
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14905-1629
Practice Country
US
Practice Phone
(607) 271-3780
Practice Fax
(607) 271-3894
Enumeration Date
June 23, 2017
Last Updated
November 30, 2020
Sex
Female
Sole Proprietor
No
Certification Date
November 30, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X), Registered Nurse (163W00000X)
Other Identifiers
103382724 (PA), 04836233 (NY)