Provider Demographics
NPI:1902823909
Name:BROWN, SARA S (MSN)
Entity Type:Individual
Prefix:MS
First Name:SARA
Middle Name:S
Last Name:BROWN
Suffix:
Gender:F
Credentials:MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:857 POST RD
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02888-3360
Mailing Address - Country:US
Mailing Address - Phone:401-467-3115
Mailing Address - Fax:401-785-8468
Practice Address - Street 1:857 POST RD
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02888-3360
Practice Address - Country:US
Practice Address - Phone:401-467-3115
Practice Address - Fax:401-785-8468
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-16
Last Update Date:2013-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RINPP37307363LC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LC1500XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCommunity Health