SARA CORNWELL LUNDBERG


Address: 29 Dighton Ave, Portsmouth, RI 02871-5512
Phone: 4017878791

SARA CORNWELL LUNDBERG (NPI# 1144856063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144856063
Entity Type Individual
Full Name SARA CORNWELL LUNDBERG
Credential FNP-C
Practice Address 29 Dighton Ave
Portsmouth
RI 02871-5512
Practice Telephone 4017878791
Mailing Telephone 4017878791
Enumeration Date 2020-03-23
Last Update Date 2020-09-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
APRN02422 RI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 29 DIGHTON AVE
City PORTSMOUTH
State RI
Zip Code 02871-5512

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NPI Name Taxonomy Address Enumeration
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1720378623 Thomas Francis Reitano Pharmacist 3034 East Main Rd, Portsmouth, RI 02871 2011-04-12
1063716793 Amber Kaltenstein Psychologist 2820 E Main Rd, Portsmouth, RI 02871 2011-01-10
1760660773 Susan Mandrachia Killebrew Social Worker 107 Clock Tower Square, Portsmouth, RI 02871 2008-02-01
1235348335 East Bay Endoscopy Center LLC Clinic/Center 109 Clock Tower Square, Portsmouth, RI 02871 2007-05-22
1346369147 Todd Matthew Carbone Physical Therapy Assistant 459 Wapping Rd, Portsmouth, RI 02871 2007-03-29
1952436032 Newport County Regional Special Education Local Education Agency (LEA) Elmhurst School, 1 Frank Coelho Drive, Portsmouth, RI 02871 2007-02-22
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801494695 Ashlei Parker Nurse Practitioner 102 Sawgrass Ln, Portsmouth, VA 23703-2284 2020-10-13
1669082483 Madeline Rose Grandin Nurse Practitioner 238 Miller Ave Apt 2, Portsmouth, NH 03801-2092 2020-08-06
1619597010 Kelsey Louise Potter Nurse Practitioner 1911 High St, Portsmouth, OH 45662-3254 2020-04-26
1750914800 Loyette Wong Nurse Practitioner 3235 Academy Ave Ste 305, Portsmouth, VA 23703-3200 2020-02-18
1356818876 Sandie Katrina Elliott Nurse Practitioner 1 Crawford Pkwy Ste 1a, Portsmouth, VA 23704-2609 2018-11-02
1023585619 Winter Marie Mcfarland Nurse Practitioner 1701 High St Ste 102, Portsmouth, VA 23704-2395 2018-11-01
1689177503 Quickcarenp Nurse Practitioner 49 Prospect Parkway, Portsmouth, VA 23702 2018-03-16
1649788803 Ashley Ann Rowland Nurse Practitioner 1729 Kinneys Ln Ste 202, Portsmouth, OH 45662-3167 2018-01-22
1508378894 Caitlin Elizabeth Mullaney Nurse Practitioner 330 Borthwick Ave Ste 205, Portsmouth, NH 03801-7109 2017-10-26
1073025599 Jennifer L Hodge Nurse Practitioner 2690 Elmhurst Ln, Portsmouth, VA 23701-2745 2017-10-25
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Competitor

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City PORTSMOUTH
Zip Code 02871

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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