Provider Demographics
NPI:1417748203
Name:EASTERDAY, SARA (LPN)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:EASTERDAY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 MASSACHUSETTS AVE
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14213-2310
Mailing Address - Country:US
Mailing Address - Phone:719-304-9865
Mailing Address - Fax:
Practice Address - Street 1:530 MASSACHUSETTS AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14213-2310
Practice Address - Country:US
Practice Address - Phone:719-304-9865
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY331896164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse