Individual
SARAH LYNN SHADALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1 WARREN ST, PLYMOUTH, NH 03264-1416
(603) 238-3149
(603) 238-9239
Mailing address
1 WARREN ST, PLYMOUTH, NH 03264-1416
(603) 238-3149
(603) 238-9239
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
060508-23
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3091511
—
NH
Enumeration date
12/12/2012
Last updated
10/12/2023
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