Basic Information
Provider Information
NPI: 1598383556
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FLYNN-SAVOIE
FirstName: SARAH
MiddleName: BETH
NamePrefix: MRS.
NameSuffix:  
Credential: MSN, APRN, NNP-BC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 30 SHORE DR
Address2:  
City: SPENCER
State: MA
PostalCode: 015622914
CountryCode: US
TelephoneNumber: 9788953049
FaxNumber:  
Practice Location
Address1: 114 WOODLAND ST
Address2:  
City: HARTFORD
State: CT
PostalCode: 061051208
CountryCode: US
TelephoneNumber: 8607144404
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/07/2020
LastUpdateDate: 03/30/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/30/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LN0005XRN2265740MAN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care
363LN0000X159902CTY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal
363L00000XRN2265740MAN Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


Home