Provider Demographics
NPI:1730282385
Name:DINGLE, SARAH (FNPC)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:
Last Name:DINGLE
Suffix:
Gender:F
Credentials:FNPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 GLEN COVE DR
Mailing Address - Street 2:SUITE 206
Mailing Address - City:ROCKPORT
Mailing Address - State:ME
Mailing Address - Zip Code:04856-4235
Mailing Address - Country:US
Mailing Address - Phone:207-921-5454
Mailing Address - Fax:207-921-5353
Practice Address - Street 1:4 GLEN COVE DR
Practice Address - Street 2:SUITE 206
Practice Address - City:ROCKPORT
Practice Address - State:ME
Practice Address - Zip Code:04856-4235
Practice Address - Country:US
Practice Address - Phone:207-921-5454
Practice Address - Fax:207-921-5353
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2015-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEF0607063363LF0000X
MER030879163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME431876299Medicaid
ME100423OtherANTHEM