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NPI Code Detail

MEDICARE: SARAH ARVIDSON

MEDICARE:   SARAH  ARVIDSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WC1500XCommunity Health Registered NurseRN2328922MA
2363LF0000XFamily Nurse Practitioner101.0135610MA

General Provider Information

NPI Number : 1528682937
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH ARVIDSON
Provider Business Mailing Address
First Line : 617 RIVERSIDE AVE
Second Line :
City : BURLINGTON
State : VT
Zip : 05401-1601
Country : US
Telephone Number : 802-404-1350
Fax Number :
Provider Business Practice Location Address
First Line : 87 MAIN ST
Second Line :
City : ESSEX JUNCTION
State : VT
Zip : 05452-3234
Country : US
Telephone Number : 802-404-1350
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2020
Last Update Date : 08/18/2025

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