Individual
SARA R SAXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
739 IRVING AVE STE 600, SYRACUSE, NY 13210
(315) 470-7409
(315) 475-2357
Mailing address
739 IRVING AVE STE 600, SYRACUSE, NY 13210-1663
(315) 470-7409
(315) 475-2357
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0024175083
VA
363L00000X
Nurse Practitioner
Primary
F343685-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017144117
COMMONWEALTH OF VIRGINIA BOARD OF NURSING
VA
01
—
0024175083
VIRGINIA BOARD OF NURSING
VA
Enumeration date
08/05/2017
Last updated
01/22/2019
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