=====================================================
General NPI Number Information
=====================================================
NPI Number | 1447860994
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SARA ADAIR MULVEY RN, PMHNPBC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/08/2020
-----------------------------------------------------
Last Update Date | 01/08/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 342 AUGUSTA RD
-----------------------------------------------------
City | WINSLOW
-----------------------------------------------------
State | ME
-----------------------------------------------------
Zip | 04901-0788
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 207-453-4708
-----------------------------------------------------
Fax | 207-238-6299
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 342 AUGUSTA RD
-----------------------------------------------------
City | WINSLOW
-----------------------------------------------------
State | ME
-----------------------------------------------------
Zip | 04901-0788
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 207-453-4708
-----------------------------------------------------
Fax | 207-238-6299
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163W00000X
-----------------------------------------------------
Taxonomy Name | Registered Nurse
-----------------------------------------------------
License Number | RN59618
-----------------------------------------------------
License Number State | ME
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number | CNP251274
-----------------------------------------------------
License Number State | ME
-----------------------------------------------------