Basic Information
| Provider Information | |||||||||
| NPI: | 1841306586 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | EGGEMEIER | ||||||||
| FirstName: | SARA | ||||||||
| MiddleName: | B | ||||||||
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| Credential: | APN, CNM | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10 HOSPITAL DR STE 301 | ||||||||
| Address2: | |||||||||
| City: | HOLYOKE | ||||||||
| State: | MA | ||||||||
| PostalCode: | 010406603 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4135354714 | ||||||||
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| Practice Location | |||||||||
| Address1: | 15 HOSPITAL DR STE 501 | ||||||||
| Address2: | |||||||||
| City: | HOLYOKE | ||||||||
| State: | MA | ||||||||
| PostalCode: | 010406606 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4135342826 | ||||||||
| FaxNumber: | 4135342829 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/23/2006 | ||||||||
| LastUpdateDate: | 06/02/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367A00000X | 209-006137 | IL | N | Physician Assistants & Advanced Practice Nursing Providers | Advanced Practice Midwife | 367A00000X | RN243716 | MA | Y | Physician Assistants & Advanced Practice Nursing Providers | Advanced Practice Midwife |
ID Information
| ID | Type | State | Issuer | Description | RN243716 | 01 | MA | STATE LICENSE | OTHER |