Provider Demographics
NPI:1215225362
Name:COTE, SARAH L (ANP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:L
Last Name:COTE
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:L
Other - Last Name:DIMAURO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ANP
Mailing Address - Street 1:1 MEDICAL CENTER DRIVE
Mailing Address - Street 2:
Mailing Address - City:BIDDEFORD
Mailing Address - State:ME
Mailing Address - Zip Code:04005
Mailing Address - Country:US
Mailing Address - Phone:207-283-7000
Mailing Address - Fax:207-282-9180
Practice Address - Street 1:72 MAIN STREET
Practice Address - Street 2:
Practice Address - City:KENNEBUNK
Practice Address - State:ME
Practice Address - Zip Code:04043
Practice Address - Country:US
Practice Address - Phone:207-467-8909
Practice Address - Fax:207-467-8910
Is Sole Proprietor?:No
Enumeration Date:2011-07-11
Last Update Date:2014-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEAP111034363L00000X
MECNP111034363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME1215225362Medicaid
MA110092467AMedicaid
ME1215225362Medicaid
ME002309801Medicare PIN