Provider Demographics
NPI:1134463227
Name:NIELSEN, SARAH R (RN)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:R
Last Name:NIELSEN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:R
Other - Last Name:GERWITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:345 VILLAGE LN
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14610-3041
Mailing Address - Country:US
Mailing Address - Phone:585-301-7446
Mailing Address - Fax:585-444-6985
Practice Address - Street 1:345 VILLAGE LN
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14610-3041
Practice Address - Country:US
Practice Address - Phone:585-301-7446
Practice Address - Fax:585-444-6985
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-15
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY615839163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse