Provider Demographics
NPI:1942323209
Name:STANKES, SARAH MCKINNEY (PA)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:MCKINNEY
Last Name:STANKES
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:287 WINONA RD
Mailing Address - Street 2:
Mailing Address - City:NEW HAMPTON
Mailing Address - State:NH
Mailing Address - Zip Code:03256-4753
Mailing Address - Country:US
Mailing Address - Phone:603-279-8045
Mailing Address - Fax:
Practice Address - Street 1:163A DANIEL WEBSTER HWY
Practice Address - Street 2:
Practice Address - City:MEREDITH
Practice Address - State:NH
Practice Address - Zip Code:03253-5613
Practice Address - Country:US
Practice Address - Phone:603-279-2267
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0434363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHJOSE083614OtherBLUE CROSS GROUP NUMBER
NH116421OtherCIGNA INSURANCE
NH30331992Medicaid
NH116421OtherCIGNA INSURANCE