Provider Demographics
NPI:1467873679
Name:BEGUE, SARAH ELAINE (CPNP-AC)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:ELAINE
Last Name:BEGUE
Suffix:
Gender:F
Credentials:CPNP-AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 GIORDANO DR
Mailing Address - Street 2:
Mailing Address - City:CORTLANDT MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10567-6439
Mailing Address - Country:US
Mailing Address - Phone:614-572-7611
Mailing Address - Fax:
Practice Address - Street 1:7 GIORDANO DR
Practice Address - Street 2:
Practice Address - City:CORTLANDT MANOR
Practice Address - State:NY
Practice Address - Zip Code:10567-6439
Practice Address - Country:US
Practice Address - Phone:614-572-7611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-16
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.15475-NP363LP0200X
OHAPRN.CNP.15475363LA2100X
OHRN.318405-OH163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163WP0200XNursing Service ProvidersRegistered NursePediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0110005Medicaid