Healthcare Provider Details

I. General information

NPI: 1821816885
Provider Name (Legal Business Name): SARAH ELIZABETH UWAZANY FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2024
Last Update Date: 09/30/2024
Certification Date: 09/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

612 HARTFORD PIKE
DAYVILLE CT
06241-2159
US

IV. Provider business mailing address

612 HARTFORD PIKE
DAYVILLE CT
06241-2159
US

V. Phone/Fax

Practice location:
  • Phone: 860-779-0867
  • Fax: 860-779-0386
Mailing address:
  • Phone: 774-200-8815
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number13936
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: