Provider Demographics
NPI:1942503875
Name:ALLEN, SARAH WEST (NM)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:WEST
Last Name:ALLEN
Suffix:
Gender:F
Credentials:NM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1407 S COUNTY TRL
Mailing Address - Street 2:BLDG 4- STE 420
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-1652
Mailing Address - Country:US
Mailing Address - Phone:401-616-1627
Mailing Address - Fax:401-885-1894
Practice Address - Street 1:1407 S COUNTY TRL
Practice Address - Street 2:BLDG 4- STE 420
Practice Address - City:EAST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818-1652
Practice Address - Country:US
Practice Address - Phone:401-616-1627
Practice Address - Fax:401-885-1894
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-15
Last Update Date:2011-01-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
RICMW00133367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife