Provider Demographics
NPI:1366261141
Name:FREAR, SABRINA (CRNP, RN)
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:
Last Name:FREAR
Suffix:
Gender:F
Credentials:CRNP, RN
Other - Prefix:
Other - First Name:SABRINA
Other - Middle Name:
Other - Last Name:APPLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1013 MENOHER BLVD
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15905-2544
Mailing Address - Country:US
Mailing Address - Phone:814-254-4885
Mailing Address - Fax:
Practice Address - Street 1:1013 MENOHER BLVD
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15905-2544
Practice Address - Country:US
Practice Address - Phone:814-254-4885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-08
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP030539207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine