Provider Demographics
NPI:1699327700
Name:CONSERVA SEDGLEY, CARA (BA)
Entity type:Individual
Prefix:
First Name:CARA
Middle Name:
Last Name:CONSERVA SEDGLEY
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:CARA
Other - Middle Name:
Other - Last Name:CONSERVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 2032
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03302-2032
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:53 KENDALL ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NH
Practice Address - Zip Code:03235-1413
Practice Address - Country:US
Practice Address - Phone:603-934-3400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-10
Last Update Date:2019-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator