Healthcare Provider Details

I. General information

NPI: 1881540441
Provider Name (Legal Business Name): SARA BETH CONNELL FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 WELLS ST
WESTERLY RI
02891-2948
US

IV. Provider business mailing address

35 WELLS ST
WESTERLY RI
02891-2948
US

V. Phone/Fax

Practice location:
  • Phone: 401-596-7880
  • Fax: 401-596-5453
Mailing address:
  • Phone: 401-596-7880
  • Fax: 401-596-5453

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN05148
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: