Individual
MRS. SARAH ARLENE BUCK-HERDRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS RN PMHCNS-BC
Contact information
Practice address
107 CLOCK TOWER SQ, PORTSMOUTH, RI 02871-1396
(401) 293-5930
(401) 293-0097
Mailing address
107 CLOCK TOWER SQ, PORTSMOUTH, RI 02871-1396
(401) 293-5930
(401) 293-0097
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
PPNS00075
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000031092
BLUE CROSS
RI
01
—
0000041302
BLUE CHIP
RI
05
—
SB42521
—
RI
Enumeration date
07/18/2006
Last updated
12/04/2014
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