Provider Demographics
NPI:1326841909
Name:PELLETIER, SARAH (MS, APRN, FNP-BC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:PELLETIER
Suffix:
Gender:F
Credentials:MS, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:383 BEACON HILL DR
Mailing Address - Street 2:
Mailing Address - City:CHESHIRE
Mailing Address - State:CT
Mailing Address - Zip Code:06410-1703
Mailing Address - Country:US
Mailing Address - Phone:619-889-0384
Mailing Address - Fax:
Practice Address - Street 1:135 DOWLING WAY
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06030-0001
Practice Address - Country:US
Practice Address - Phone:619-889-0384
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-31
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT174217163WX0003X
CT14946363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
No163WX0003XNursing Service ProvidersRegistered NurseObstetric, Inpatient