Provider Demographics
NPI:1629582556
Name:TSOUVALAS, SARAH ELIZABETH (MSN, FNP-C)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ELIZABETH
Last Name:TSOUVALAS
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:ELIZABETH
Other - Last Name:POWERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:900 CUMMINGS CENTER, SUITE 111W
Mailing Address - Street 2:LAHEY HEALTH PRIMARY CARE, BEVERLY
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915
Mailing Address - Country:US
Mailing Address - Phone:978-927-1859
Mailing Address - Fax:978-927-2388
Practice Address - Street 1:900 CUMMINGS CENTER, SUITE 111W
Practice Address - Street 2:LAHEY HEALTH PRIMARY CARE, BEVERLY
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915
Practice Address - Country:US
Practice Address - Phone:978-927-1859
Practice Address - Fax:978-927-2388
Is Sole Proprietor?:No
Enumeration Date:2017-11-30
Last Update Date:2019-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN230465363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily