Provider Demographics
NPI:1922253483
Name:WALSH, SARAH FAITH (APRN, FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:FAITH
Last Name:WALSH
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:FAITH
Other - Last Name:BRYAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN, FNP-BC
Mailing Address - Street 1:387 QUAKER FARMS RD
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06478-1303
Mailing Address - Country:US
Mailing Address - Phone:203-704-1075
Mailing Address - Fax:
Practice Address - Street 1:2247 E MAIN ST
Practice Address - Street 2:SUITE 103
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06705-2604
Practice Address - Country:US
Practice Address - Phone:203-757-3486
Practice Address - Fax:203-757-3723
Is Sole Proprietor?:No
Enumeration Date:2008-11-25
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003945207Q00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT1922253483Medicaid