Provider Demographics
NPI:1578237970
Name:HANLEY, SARAH VICTORIA (PA-C)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:VICTORIA
Last Name:HANLEY
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:2 MAIN ST UNIT 18-305
Mailing Address - Street 2:
Mailing Address - City:BIDDEFORD
Mailing Address - State:ME
Mailing Address - Zip Code:04005-2049
Mailing Address - Country:US
Mailing Address - Phone:207-350-9501
Mailing Address - Fax:
Practice Address - Street 1:91 CAMPUS AVE
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-6030
Practice Address - Country:US
Practice Address - Phone:207-777-8120
Practice Address - Fax:207-777-8984
Is Sole Proprietor?:No
Enumeration Date:2021-08-09
Last Update Date:2022-06-16
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Provider Licenses
StateLicense IDTaxonomies
MEPA2235363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant