Provider Demographics
NPI:1376054361
Name:STERN, SARAH (PMHNP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:STERN
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:STERN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:SARAH STERN, PMHNP
Mailing Address - Street 1:2 DUDLEY ST
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02905-3236
Mailing Address - Country:US
Mailing Address - Phone:401-453-7955
Mailing Address - Fax:401-453-7720
Practice Address - Street 1:2 DUDLEY ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02905-3236
Practice Address - Country:US
Practice Address - Phone:401-453-7955
Practice Address - Fax:401-276-7873
Is Sole Proprietor?:No
Enumeration Date:2017-10-17
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRN58016163W00000X
MARN2313905163W00000X
RIAPRN01896363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse