Provider Demographics
NPI:1225782402
Name:SANTOS, SARAH-JANE HANNAH (NP)
Entity Type:Individual
Prefix:MRS
First Name:SARAH-JANE
Middle Name:HANNAH
Last Name:SANTOS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MISS
Other - First Name:SARAH JANE
Other - Middle Name:HANNAH
Other - Last Name:RILEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:116 BLACKBURN ST
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02861-1413
Mailing Address - Country:US
Mailing Address - Phone:401-692-1471
Mailing Address - Fax:
Practice Address - Street 1:830 CHALKSTONE AVE
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02908-4734
Practice Address - Country:US
Practice Address - Phone:401-273-7100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-07
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIAPRN02831363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner