Basic Information
Provider Information | |||||||||
NPI: | 1407298482 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | DUPLINSKY | ||||||||
FirstName: | SARAH | ||||||||
MiddleName: | ANN | ||||||||
NamePrefix: |   | ||||||||
NameSuffix: |   | ||||||||
Credential: | FNP | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: | GRAY | ||||||||
OtherFirstName: | SARAH | ||||||||
OtherMiddleName: | ANN | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: | 1 | ||||||||
Mailing Information | |||||||||
Address1: | 7 GREENWOOD AVE | ||||||||
Address2: |   | ||||||||
City: | CONWAY | ||||||||
State: | NH | ||||||||
PostalCode: | 038186130 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 6034473500 | ||||||||
FaxNumber: |   | ||||||||
Practice Location | |||||||||
Address1: | 7 GREENWOOD AVE | ||||||||
Address2: |   | ||||||||
City: | CONWAY | ||||||||
State: | NH | ||||||||
PostalCode: | 038186130 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 6034473500 | ||||||||
FaxNumber: | 6034475568 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 07/19/2013 | ||||||||
LastUpdateDate: | 11/28/2018 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | F | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 06832623 | NH | N |   | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | 363LF0000X | 068326-23 | NH | Y |   | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.