Provider Demographics
NPI:1215225362
Name:COTE, SARAH L (ANP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:L
Last Name:COTE
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:L
Other - Last Name:DIMAURO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ANP
Mailing Address - Street 1:582 ROOSEVELT TRL
Mailing Address - Street 2:
Mailing Address - City:WINDHAM
Mailing Address - State:ME
Mailing Address - Zip Code:04062-4904
Mailing Address - Country:US
Mailing Address - Phone:207-892-3233
Mailing Address - Fax:
Practice Address - Street 1:582 ROOSEVELT TRL
Practice Address - Street 2:
Practice Address - City:WINDHAM
Practice Address - State:ME
Practice Address - Zip Code:04062-4904
Practice Address - Country:US
Practice Address - Phone:207-892-3233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-11
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEAP111034363L00000X
MECNP111034363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110092467AMedicaid
ME1215225362Medicaid
ME1215225362Medicaid
ME002309801Medicare PIN