Provider Demographics
NPI:1346780145
Name:BROWN, SARINAH MARIE (APRN)
Entity Type:Individual
Prefix:
First Name:SARINAH
Middle Name:MARIE
Last Name:BROWN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:SARINAH
Other - Middle Name:M
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PMHNP
Mailing Address - Street 1:1 DRIFTWOOD LN
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-2095
Mailing Address - Country:US
Mailing Address - Phone:781-660-3090
Mailing Address - Fax:
Practice Address - Street 1:105 WEBSTER ST STE 8
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:MA
Practice Address - Zip Code:02339-1227
Practice Address - Country:US
Practice Address - Phone:781-312-7459
Practice Address - Fax:781-536-0016
Is Sole Proprietor?:No
Enumeration Date:2017-02-28
Last Update Date:2020-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA260682163W00000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse