Provider Demographics
NPI:1487019618
Name:MARCHEFKA, SARAH JEAN (NP)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:JEAN
Last Name:MARCHEFKA
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 1:38 MULBERRY ST
Mailing Address - Street 2:SUITE #204
Mailing Address - City:LEEDS
Mailing Address - State:MA
Mailing Address - Zip Code:01053-5321
Mailing Address - Country:US
Mailing Address - Phone:413-727-3882
Mailing Address - Fax:
Practice Address - Street 1:38 MULBERRY ST
Practice Address - Street 2:SUITE #204
Practice Address - City:LEEDS
Practice Address - State:MA
Practice Address - Zip Code:01053-5321
Practice Address - Country:US
Practice Address - Phone:413-727-3882
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-14
Last Update Date:2016-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN283562363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner