Provider Demographics
NPI:1275757619
Name:INGRAFFIA, SARA T (NP)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:T
Last Name:INGRAFFIA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PRINCETON UNIVERSITY HEALTH SERV MCCOSH HEALTH CTR
Mailing Address - Street 2:WASHINGTON ROAD
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08544-0001
Mailing Address - Country:US
Mailing Address - Phone:609-258-5035
Mailing Address - Fax:609-258-0976
Practice Address - Street 1:PRINCETON UNIVERSITY HEALTH SERV MCCOSH HEALTH CTR
Practice Address - Street 2:WASHINGTON ROAD
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08544-0001
Practice Address - Country:US
Practice Address - Phone:609-258-5035
Practice Address - Fax:609-258-0976
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ26NN07896300363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily