| Doctor Name: | SARAH ELLSWORTH |
| NPI Number: | 1285062075 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PMHNP |
| License Number: | CNP131100 |
| Business Practice Address: | 194 E Main St Fort Kent, ME - 047431428 |
| Business Phone Number: | 2078343101 |
| Business Fax Number: | 2078342917 |
| Mailing Address: | 194 E Main St, FORT KENT |
| State: | ME |
| Postal Code: | 047431428 |
| Phone Number: | 2078343101 |
| Fax Number: | 2078342917 |
| NPI Enumeration Date: | 10/15/2013 |
| NPI Last Update Date: | 10/15/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | CNP131100 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |