MEDICARE: MRS. SARAH ARCHIBALD 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	163W00000X	Registered Nurse	RN2353483	MA
2	363LG0600X	Gerontology Nurse Practitioner	RN2353483	MA

General Provider Information

NPI Number	:	1952139677
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SARAH ARCHIBALD NP

Provider Business Mailing Address
First Line	:	575 TURNPIKE ST STE 25
Second Line	:
City	:	NORTH ANDOVER
State	:	MA
Zip	:	01845-5937
Country	:	US
Telephone Number	:	978-290-4646
Fax Number	:	978-290-4822

Provider Business Practice Location Address
First Line	:	575 TURNPIKE ST STE 25
Second Line	:
City	:	NORTH ANDOVER
State	:	MA
Zip	:	01845-5937
Country	:	US
Telephone Number	:	978-290-4646
Fax Number	:	978-290-4822

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

Provider Enumeration Date	:	07/24/2024
Last Update Date	:	02/02/2026

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