Healthcare Provider Details

I. General information

NPI: 1346473774
Provider Name (Legal Business Name): SARA GERIANNE NADEAU AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARA GERIANNE ACCIARDO AU.D.

II. Dates (important events)

Enumeration Date: 09/02/2009
Last Update Date: 09/23/2024
Certification Date: 09/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 BLACKSTONE VALLEY PL STE 510
LINCOLN RI
02865-1102
US

IV. Provider business mailing address

40 AUDUBON LN
HOPE RI
02831-1627
US

V. Phone/Fax

Practice location:
  • Phone: 401-374-7308
  • Fax:
Mailing address:
  • Phone: 401-475-6116
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberAUD00189
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: