MEDICARE: MS. SARAH MARIE KERMELEWICZ CNM

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	367A00000X	Advanced Practice Midwife	113069-23	NH

General Provider Information

NPI Number	:	1477414688
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SARAH MARIE KERMELEWICZ CNM

Provider Business Mailing Address
First Line	:	11B SHELLY DR
Second Line	:
City	:	DERRY
State	:	NH
Zip	:	03038-5735
Country	:	US
Telephone Number	:	781-426-6649
Fax Number	:

Provider Business Practice Location Address
First Line	:	67 CORPORATE DR STE 300
Second Line	:
City	:	PORTSMOUTH
State	:	NH
Zip	:	03801-2847
Country	:	US
Telephone Number	:	603-610-8079
Fax Number	:

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

Provider Enumeration Date	:	11/19/2025
Last Update Date	:	12/09/2025

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