Doctor Name: | SARAH NIX |
NPI Number: | 1386026698 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | CNP151075 |
Business Practice Address: | 155 Spurwink Ave Cape Elizabeth, ME - 041079604 |
Business Phone Number: | 2077672174 |
Business Fax Number: | 2077671348 |
Mailing Address: | 300 Southborough Dr, Suite 201 SOUTH PORTLAND |
State: | ME |
Postal Code: | 041066914 |
Phone Number: | 2076612000 |
Fax Number: | 2076612033 |
NPI Enumeration Date: | 06/23/2015 |
NPI Last Update Date: | 05/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | CNP151075 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |