Provider Demographics
NPI:1215216643
Name:NORRIS, SARAH JANE (APRN, WHNP-BC)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:JANE
Last Name:NORRIS
Suffix:
Gender:F
Credentials:APRN, WHNP-BC
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:NORRIS
Other - Last Name:FRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, MS, WHNP-BC
Mailing Address - Street 1:29 CITY POINT RD
Mailing Address - Street 2:
Mailing Address - City:PEAKS ISLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04108-1161
Mailing Address - Country:US
Mailing Address - Phone:415-272-1174
Mailing Address - Fax:
Practice Address - Street 1:29 CITY POINT RD
Practice Address - Street 2:
Practice Address - City:PEAKS ISLAND
Practice Address - State:ME
Practice Address - Zip Code:04108-1161
Practice Address - Country:US
Practice Address - Phone:415-272-1174
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-16
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECNP191082363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health