Healthcare Provider Details

I. General information

NPI: 1962341784
Provider Name (Legal Business Name): SARAH PURCELL APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 E PUTNAM AVE
GREENWICH CT
06830-5429
US

IV. Provider business mailing address

850 PACIFIC ST APT 1158
STAMFORD CT
06902-7376
US

V. Phone/Fax

Practice location:
  • Phone: 203-935-8454
  • Fax:
Mailing address:
  • Phone: 508-816-2053
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number12.016913
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: