Individual
SARA N CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
25 WINTHROP ST, WORCESTER, MA 01604
(508) 852-0600
(508) 363-6080
Mailing address
630 PLANTATION ST, WORCESTER, MA 01605
(508) 852-0600
(508) 363-6080
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
158993
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042472266
THREE RIVERS
—
01
—
042472266039
TRICARE CHAMPUS
—
01
—
54436
FALLON COMM. HEALTH PLAN
—
01
—
8301268
EVERCARE
—
01
—
AA3636
HARVARD PILGRIM HEALTHCAR
—
01
—
NP0885
MEDICARE B
—
01
—
NP3271
BLUE SHIELD HMO BLUE
—
Enumeration date
01/10/2006
Last updated
01/30/2009
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