Individual
SARAH ELIZABETH ITTEILAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP BC MSN
Contact information
Practice address
365 MONTAUK AVE, NEW LONDON, CT 06320-4700
(860) 271-4364
Mailing address
80 SHORE RD, WESTERLY, RI 02891-4206
(401) 275-3608
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
7503
CT
363LA2200X
Adult Health Nurse Practitioner
Primary
7503
CT
Other
Enumeration date
03/20/2018
Last updated
04/13/2026
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