MEDICARE: SARAH EASTERDAY RN

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	163W00000X	Registered Nurse	RN9696177	FL

General Provider Information

NPI Number	:	1902764822
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH EASTERDAY RN

Provider Business Mailing Address
First Line	:	3101 NE WEST END BLVD APT 10
Second Line	:
City	:	JENSEN BEACH
State	:	FL
Zip	:	34957-7265
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3101 NE WEST END BLVD APT 10
Second Line	:
City	:	JENSEN BEACH
State	:	FL
Zip	:	34957-7265
Country	:	US
Telephone Number	:	724-993-0306
Fax Number	:	724-993-0306

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

Provider Enumeration Date	:	01/10/2026
Last Update Date	:	01/10/2026

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