Provider Demographics
NPI:1760975452
Name:ALANIS, SARA ANN (RN IBCLC IFS)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:ANN
Last Name:ALANIS
Suffix:
Gender:F
Credentials:RN IBCLC IFS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 SPRAGUE MILL RD
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03110-4243
Mailing Address - Country:US
Mailing Address - Phone:603-275-7350
Mailing Address - Fax:
Practice Address - Street 1:460 STATE ROUTE 101 STE 8
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110-5036
Practice Address - Country:US
Practice Address - Phone:646-653-1642
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-07
Last Update Date:2022-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHL-108047163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant