Provider Demographics
NPI:1861412652
Name:CALIANDRI, SARAH M (NP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:M
Last Name:CALIANDRI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 SULLIVAN AVE
Mailing Address - Street 2:SUITE A4
Mailing Address - City:SOUTH WINDSOR
Mailing Address - State:CT
Mailing Address - Zip Code:06074-2000
Mailing Address - Country:US
Mailing Address - Phone:860-648-2748
Mailing Address - Fax:860-648-2751
Practice Address - Street 1:1050 SULLIVAN AVE
Practice Address - Street 2:SUITE A4
Practice Address - City:SOUTH WINDSOR
Practice Address - State:CT
Practice Address - Zip Code:06074-2000
Practice Address - Country:US
Practice Address - Phone:860-648-2748
Practice Address - Fax:860-648-2751
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2011-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000520363LW0102X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTP72118Medicare UPIN
CT500000926Medicare ID - Type Unspecified