Provider Demographics
NPI:1881205979
Name:THAYER, SARAH ELIZABETH (CNM)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:ELIZABETH
Last Name:THAYER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:ELIZABETH
Other - Last Name:SUTTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3455 MAIN ST STE C
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01107-1187
Mailing Address - Country:US
Mailing Address - Phone:134-794-8484
Mailing Address - Fax:134-794-8477
Practice Address - Street 1:3455 MAIN ST STE C
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01107-1187
Practice Address - Country:US
Practice Address - Phone:134-794-8484
Practice Address - Fax:134-794-8477
Is Sole Proprietor?:No
Enumeration Date:2020-08-12
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT476176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife