Provider Demographics
NPI:1023397841
Name:SHIPLEY, SARA A (APRN)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:A
Last Name:SHIPLEY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 SPITBROOK ROAD
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03062-2711
Mailing Address - Country:US
Mailing Address - Phone:603-888-5573
Mailing Address - Fax:603-891-6910
Practice Address - Street 1:116 SPIT BROOK RD
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03062-2711
Practice Address - Country:US
Practice Address - Phone:603-888-5573
Practice Address - Fax:603-891-6910
Is Sole Proprietor?:No
Enumeration Date:2011-08-10
Last Update Date:2013-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH055028-23363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily