MEDICARE: JULIE SACHARKO APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	4784	CT
2	163WM0705X	Medical-Surgical Registered Nurse	E55652	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4784	OTHER	CT	APRN
2	E55652	OTHER	CT	LICENSE

General Provider Information

NPI Number	:	1063700995
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE SACHARKO APRN

Provider Business Mailing Address
First Line	:	225 N MAIN ST STE 101
Second Line	:
City	:	BRISTOL
State	:	CT
Zip	:	06010-4993
Country	:	US
Telephone Number	:	860-920-4979
Fax Number	:	833-471-4212

Provider Business Practice Location Address
First Line	:	225 N MAIN ST STE 101
Second Line	:
City	:	BRISTOL
State	:	CT
Zip	:	06010-4993
Country	:	US
Telephone Number	:	860-920-4979
Fax Number	:	833-471-4212

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2011
Last Update Date	:	12/01/2025

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