Provider Demographics
NPI:1306099478
Name:HARTFORD, SARAH NAIL (ARNP)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:NAIL
Last Name:HARTFORD
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:LOUISA
Other - Last Name:NAIL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:940 BELMONT ST
Mailing Address - Street 2:VA BOSTON, WOMEN'S HEALTH CLINIC, BUILDING 2
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02301-5596
Mailing Address - Country:US
Mailing Address - Phone:774-826-2792
Mailing Address - Fax:774-826-2826
Practice Address - Street 1:940 BELMONT ST
Practice Address - Street 2:VA BOSTON, WOMEN'S HEALTH CLINIC, BUILDING 2
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-5596
Practice Address - Country:US
Practice Address - Phone:774-826-2792
Practice Address - Fax:774-826-2826
Is Sole Proprietor?:No
Enumeration Date:2008-11-02
Last Update Date:2014-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN237326363LP2300X
WAAP60048470363LP1700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LP1700XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPerinatal