Provider Demographics
NPI:1356977862
Name:WALSH, SARAH O
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:O
Last Name:WALSH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 COTTAGE ST
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:NH
Mailing Address - Zip Code:03276-1504
Mailing Address - Country:US
Mailing Address - Phone:603-455-9446
Mailing Address - Fax:
Practice Address - Street 1:15 COTTAGE ST
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:NH
Practice Address - Zip Code:03276-1504
Practice Address - Country:US
Practice Address - Phone:603-455-9446
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-16
Last Update Date:2020-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide