Provider Demographics
NPI:1235437468
Name:ARSENEAULT, SARAH F (APRN)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:F
Last Name:ARSENEAULT
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:F
Other - Last Name:DOBROWLOSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:415 KILLINGWORTH RD
Mailing Address - Street 2:
Mailing Address - City:HIGGANUM
Mailing Address - State:CT
Mailing Address - Zip Code:06441-4370
Mailing Address - Country:US
Mailing Address - Phone:860-345-8535
Mailing Address - Fax:860-345-8678
Practice Address - Street 1:415 KILLINGWORTH RD
Practice Address - Street 2:
Practice Address - City:HIGGANUM
Practice Address - State:CT
Practice Address - Zip Code:06441-4370
Practice Address - Country:US
Practice Address - Phone:860-345-8535
Practice Address - Fax:860-345-8678
Is Sole Proprietor?:No
Enumeration Date:2011-03-11
Last Update Date:2018-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT110283163W00000X
CT5394363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008045642Medicaid
CTD400093205Medicare PIN