SARAH VAILLANCOURT WHNP NPI 1558872291

NPI Information

NPI: 1558872291
Provider Name: SARAH VAILLANCOURT, WHNP
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

PECOS Registration: Yes

Address:
200 COTTAGE AVE
MANTECA, CA
ZIP 95336
Phone: (209) 624-5800
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Sarah Vaillancourt, WHNP is a women's health nurse practitioner in Manteca, CA. Sarah Vaillancourt, WHNP NPI is 1558872291. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

200 COTTAGE AVE
MANTECA, CA
ZIP 95336-935
Phone: (209) 624-5800
Fax: (209) 762-6808

The NPI 1558872291 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/20/2017 and was last updated on 5/5/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		201708786RN	OREGON	No
2	390200000X	Student in an Organized Health Care Education/Training Program			OREGON	No
3	363LW0102X	Nurse Practitioner	Women's Health	95010894	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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