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Individual

MRS. SARAH ELIZABETH NEEDHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1728 ELLINGTON RD, SOUTH WINDSOR, CT 06074-2715
(860) 644-1533
(860) 644-1252
Mailing address
1728 ELLINGTON RD, SOUTH WINDSOR, CT 06074-2715
(860) 644-1533
(860) 644-1252

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5582
CT
363LP0200X
Pediatric Nurse Practitioner
F382143-1
NY

Other

Enumeration date
07/13/2010
Last updated
09/23/2014
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