Healthcare Provider Details

I. General information

NPI: 1801652391
Provider Name (Legal Business Name): SARAH ELIZABETH SYLVIA DNP, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/22/2024
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HOSPITAL RD
OAK BLUFFS MA
02557-1406
US

IV. Provider business mailing address

31 WEBAQUA RD
VINEYARD HAVEN MA
02568-2705
US

V. Phone/Fax

Practice location:
  • Phone: 774-521-4083
  • Fax:
Mailing address:
  • Phone: 774-521-4083
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberRN2325775
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: