Provider Demographics
NPI:1720355167
Name:PARSONS, SARA V (RN)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:V
Last Name:PARSONS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 HYDE PKWY
Mailing Address - Street 2:
Mailing Address - City:PALMYRA
Mailing Address - State:NY
Mailing Address - Zip Code:14522-1235
Mailing Address - Country:US
Mailing Address - Phone:315-597-3423
Mailing Address - Fax:315-597-3431
Practice Address - Street 1:151 HYDE PKWY
Practice Address - Street 2:
Practice Address - City:PALMYRA
Practice Address - State:NY
Practice Address - Zip Code:14522-1235
Practice Address - Country:US
Practice Address - Phone:315-597-3423
Practice Address - Fax:315-597-3431
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-30
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY371472163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse