Provider Demographics
NPI:1598510521
Name:CIAMPINI, SARA LOREN (RN)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:LOREN
Last Name:CIAMPINI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:LOREN
Other - Last Name:CONNELLY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:31 SWEETGUM LN
Mailing Address - Street 2:
Mailing Address - City:MILLER PLACE
Mailing Address - State:NY
Mailing Address - Zip Code:11764-3001
Mailing Address - Country:US
Mailing Address - Phone:631-495-4714
Mailing Address - Fax:
Practice Address - Street 1:31 SWEETGUM LN
Practice Address - Street 2:
Practice Address - City:MILLER PLACE
Practice Address - State:NY
Practice Address - Zip Code:11764-3001
Practice Address - Country:US
Practice Address - Phone:631-495-4714
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-22
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY734529163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse