Healthcare Provider Details

I. General information

NPI: 1487370466
Provider Name (Legal Business Name): SARAH V ALLMAN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2022
Last Update Date: 10/12/2022
Certification Date: 10/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 MAIN RD
BROWNVILLE ME
04414-3107
US

IV. Provider business mailing address

529 S PATTEN RD
PATTEN ME
04765-3007
US

V. Phone/Fax

Practice location:
  • Phone: 207-538-3700
  • Fax: 207-528-2595
Mailing address:
  • Phone: 207-538-3700
  • Fax: 207-528-2595

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCNP221424
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: