Healthcare Provider Details

I. General information

NPI: 1073404067
Provider Name (Legal Business Name): SARAH M SYLVESTRE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

41 OAK LN
EAST WATERBORO ME
04030-5120
US

IV. Provider business mailing address

41 OAK LN
EAST WATERBORO ME
04030-5120
US

V. Phone/Fax

Practice location:
  • Phone: 207-206-0384
  • Fax:
Mailing address:
  • Phone: 207-206-0384
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberRN65760
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: