Provider Demographics
NPI:1629840079
Name:MCNAMARA, SARAH ANNE (RN)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ANNE
Last Name:MCNAMARA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 SUMMIT RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02421-6004
Mailing Address - Country:US
Mailing Address - Phone:781-835-8301
Mailing Address - Fax:
Practice Address - Street 1:30 SUMMIT RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02421-6004
Practice Address - Country:US
Practice Address - Phone:781-835-8301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-27
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2308444163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics