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NPI Code Detail

MEDICARE: SARAH WHELLEY ARNP

MEDICARE: SARAH WHELLEY ARNP
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
1363LF0000XFamily Nurse Practitioner0325192303NH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
29111170OTHERCIGNA
31329908OTHERAETNA
4P74005OTHERHARVARD PILGRIM HEALTH

General Provider Information

NPI Number : 1568561595
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH WHELLEY ARNP
Provider Business Mailing Address
First Line : PO BOX 500
Second Line :
City : MOULTONBOROUGH
State : NH
Zip : 03254-0500
Country : US
Telephone Number : 603-476-5366
Fax Number :
Provider Business Practice Location Address
First Line : 298 WHITE MOUNTAIN HWY
Second Line :
City : CONWAY
State : NH
Zip : 03818-4204
Country : US
Telephone Number : 603-447-8900
Fax Number : 603-447-4846
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2006
Last Update Date : 07/08/2007

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