Provider Demographics
NPI:1942403258
Name:LANAGAN, SARAH ANDEL (APRN)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:ANDEL
Last Name:LANAGAN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:199 MANCHESTER ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03103-5232
Mailing Address - Country:US
Mailing Address - Phone:603-663-8718
Mailing Address - Fax:603-314-4554
Practice Address - Street 1:199 MANCHESTER ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03103-5232
Practice Address - Country:US
Practice Address - Phone:603-663-8718
Practice Address - Fax:603-314-4554
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY672982163W00000X
MEAP081841207Q00000X
NYF338312363LF0000X
NH073254-23363LF0000X
MER051908163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME432631599Medicaid
ME432631599Medicaid