Healthcare Provider Details

I. General information

NPI: 1346816998
Provider Name (Legal Business Name): SARAH YEAGER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2021
Last Update Date: 06/02/2021
Certification Date: 06/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5897 SPEAR ST
SHELBURNE VT
05482-6579
US

IV. Provider business mailing address

106 HICKOK ST
WINOOSKI VT
05404-1909
US

V. Phone/Fax

Practice location:
  • Phone: 603-715-0685
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number026.0137855
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: