Doctor Name: | SARA CAMPION-EGAN |
NPI Number: | 1083098941 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | RN2290977 |
Business Practice Address: | 730 Main St Millis, MA - 020541612 |
Business Phone Number: | 5083762515 |
Business Fax Number: | |
Mailing Address: | 730 Main St, MILLIS |
State: | MA |
Postal Code: | 020541612 |
Phone Number: | 5083762515 |
Fax Number: | |
NPI Enumeration Date: | 07/10/2015 |
NPI Last Update Date: | 07/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN2290977 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |