Healthcare Provider Details

I. General information

NPI: 1538577986
Provider Name (Legal Business Name): SARAH PETRIDES MSN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2014
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 PARK ST
ATTLEBORO MA
02703-3143
US

IV. Provider business mailing address

16 SUNRISE RD
CRANSTON RI
02920-1529
US

V. Phone/Fax

Practice location:
  • Phone: 508-222-5200
  • Fax: 508-236-7335
Mailing address:
  • Phone: 401-206-4851
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCAPRN00988
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNPP37887
License Number StateRI
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2282208
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: