Provider Demographics
NPI:1316577422
Name:BEDI, SARAH COURTNEY (DNP, FNP-C)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:COURTNEY
Last Name:BEDI
Suffix:
Gender:F
Credentials:DNP, FNP-C
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:COURTNEY
Other - Last Name:KONKLE-PARKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:30 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BRADLEY
Mailing Address - State:ME
Mailing Address - Zip Code:04411-5006
Mailing Address - Country:US
Mailing Address - Phone:601-832-4446
Mailing Address - Fax:
Practice Address - Street 1:268 STILLWATER AVE
Practice Address - Street 2:
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-3945
Practice Address - Country:US
Practice Address - Phone:201-973-6100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-17
Last Update Date:2020-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECP191295363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily