Healthcare Provider Details

I. General information

NPI: 1730138199
Provider Name (Legal Business Name): NAOMI SAWYER NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 10/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 GROTON RD
AYER MA
01432-1168
US

IV. Provider business mailing address

200 GROTON RD
AYER MA
01432-1168
US

V. Phone/Fax

Practice location:
  • Phone: 978-784-9534
  • Fax:
Mailing address:
  • Phone: 978-784-9534
  • Fax: 978-784-9453

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number157956
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: