Healthcare Provider Details

I. General information

NPI: 1356030860
Provider Name (Legal Business Name): SARAH CONLON MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2023
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

132 OLD RIVER RD SUITE 108
LINCOLN RI
02865-1397
US

IV. Provider business mailing address

132 OLD RIVER RD SUITE 108
LINCOLN RI
02865-1397
US

V. Phone/Fax

Practice location:
  • Phone: 401-723-9250
  • Fax:
Mailing address:
  • Phone: 401-723-9250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN03660
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN58705
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: