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NPI Code Detail

MEDICARE: SARAH F ARSENEAULT APRN

MEDICARE: SARAH F ARSENEAULT 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
1163W00000XRegistered Nurse110283CT
2363LF0000XFamily Nurse Practitioner5394CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235437468
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH F ARSENEAULT APRN
Provider Business Mailing Address
First Line : 415 KILLINGWORTH RD
Second Line :
City : HIGGANUM
State : CT
Zip : 06441-4370
Country : US
Telephone Number : 860-345-8535
Fax Number : 860-345-8678
Provider Business Practice Location Address
First Line : 415 KILLINGWORTH RD
Second Line :
City : HIGGANUM
State : CT
Zip : 06441-4370
Country : US
Telephone Number : 860-345-8535
Fax Number : 860-345-8678
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2011
Last Update Date : 04/27/2018

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