MEDICARE: SARAH BROWN NP

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	163462	MA

Other Identifiers

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

General Provider Information

NPI Number	:	1366498149
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH BROWN NP

Provider Business Mailing Address
First Line	:	19 DODGE ST
Second Line	:
City	:	BEVERLY
State	:	MA
Zip	:	01915-1705
Country	:	US
Telephone Number	:	978-927-0060
Fax Number	:

Provider Business Practice Location Address
First Line	:	19 DODGE ST
Second Line	:
City	:	BEVERLY
State	:	MA
Zip	:	01915-1705
Country	:	US
Telephone Number	:	978-927-0060
Fax Number	:

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

Provider Enumeration Date	:	05/25/2006
Last Update Date	:	03/17/2018

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