Healthcare Provider Details

I. General information

NPI: 1043088461
Provider Name (Legal Business Name): SARAH PAP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/14/2023
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date: 08/14/2024
Reactivation Date: 09/09/2024

III. Provider practice location address

1698 POST RD E
WESTPORT CT
06880-5652
US

IV. Provider business mailing address

52 HARD ST
NEW HAVEN CT
06515-1244
US

V. Phone/Fax

Practice location:
  • Phone: 203-842-8292
  • Fax: 475-275-7165
Mailing address:
  • Phone: 203-645-8058
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number013764
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number176296
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: