Sarah A Brouty, RN
Individual provider Active NPI Pediatric Registered Nurse · Memphis, NY
NPI 1558905638 · NPPES record last updated Nov 1, 2019
Key facts
- NPI
- 1558905638
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Registered Nurse 163WP0200X
- License
- 735578 (NY)
- Practice address
- 1302 Powerhouse Rd
Memphis, NY 13112-9795 - Phone
- (315) 777-2253
- NPI assigned
- Nov 1, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 735578 | NY | MD | Pediatric Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | 735578 | NY | Yes |
Addresses
Primary practice location
1302 Powerhouse Rd
Memphis, NY 13112-9795
Mailing address
1302 Powerhouse Rd
Memphis, NY 13112-9795
Phone (315) 777-2253
Other names
- Sarah A Marmon
Other providers in Memphis, NY
- Abbatrans, LLC.
- Erica Troia Comstock
- Jessie James Dwyer
- Amanda L Fredette
- Amy Lynne Miller
- Johanna Whitney Povlock
All providers in Memphis, NY · Pediatric Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.