Healthcare Provider Details

I. General information

NPI: 1144147760
Provider Name (Legal Business Name): SARA ARNOLD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARA SLAIBY

II. Dates (important events)

Enumeration Date: 07/03/2026
Last Update Date: 07/03/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

348 MAIN ST S
SOUTHBURY CT
06488-4200
US

IV. Provider business mailing address

581 IVY MOUNTAIN RD
GOSHEN CT
06756-1243
US

V. Phone/Fax

Practice location:
  • Phone: 203-699-6772
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number17786
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: