Provider Demographics
NPI:1811194756
Name:ANDERSON, SARAH ANNA (CPM, NHCM)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ANNA
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:CPM, NHCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1064
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03802-1064
Mailing Address - Country:US
Mailing Address - Phone:603-969-9679
Mailing Address - Fax:
Practice Address - Street 1:45 LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-4424
Practice Address - Country:US
Practice Address - Phone:603-969-9679
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1030176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife