Healthcare Provider Details

I. General information

NPI: 1164873600
Provider Name (Legal Business Name): KARA MARIE SAWYER MSN, NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2016
Last Update Date: 06/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 ENFIELD ST
ENFIELD CT
06082-2961
US

IV. Provider business mailing address

2150 MAIN ST
SPRINGFIELD MA
01104-3566
US

V. Phone/Fax

Practice location:
  • Phone: 860-741-6058
  • Fax: 860-253-9326
Mailing address:
  • Phone: 413-739-5676
  • Fax: 413-733-5860

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN2258690
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: