Healthcare Provider Details

I. General information

NPI: 1093284168
Provider Name (Legal Business Name): SARAH ELIZABETH MCRELL MSN, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/19/2018
Last Update Date: 04/02/2020
Certification Date: 04/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 PROSPECT ST
MILFORD NH
03055-3724
US

IV. Provider business mailing address

87 N MAIN ST
LEOMINSTER MA
01453-5507
US

V. Phone/Fax

Practice location:
  • Phone: 603-673-6010
  • Fax:
Mailing address:
  • Phone: 978-534-8777
  • Fax: 978-534-8705

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberRN252627
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: