Provider Demographics
NPI:1578156568
Name:ONYANGO, SARA MARIE (APRN, WHNP-BC)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:MARIE
Last Name:ONYANGO
Suffix:
Gender:F
Credentials:APRN, WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 SARATOGA CT
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03110-6506
Mailing Address - Country:US
Mailing Address - Phone:585-944-6182
Mailing Address - Fax:
Practice Address - Street 1:12 SARATOGA CT
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110-6506
Practice Address - Country:US
Practice Address - Phone:585-944-6182
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-19
Last Update Date:2021-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH084089-23363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health