Sarah Boonstra, LPN
Individual provider Active NPI Licensed Practical Nurse · Bloomfield, NY
NPI 1679189690 · NPPES record last updated Sep 16, 2020
Key facts
- NPI
- 1679189690
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 338166 (NY)
- Practice address
- 9277 Dugway Rd
Bloomfield, NY 14469-9543 - Phone
- (585) 755-2693
- NPI assigned
- Sep 16, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 338166 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 338166 | NY | Yes |
Addresses
Primary practice location
9277 Dugway Rd
Bloomfield, NY 14469-9543
Mailing address
9277 Dugway Rd
Bloomfield, NY 14469-9543
Phone (585) 755-2693
Other providers in Bloomfield, NY
- James Paul Acquilano
- Martha Jean Austin
- Nancy Jean Benton
- Bloomfield Oral Health
- Kelly C Courtney
- Gabrielle Hannah D'Angelo
- East Bloomfield Central School
- Katheryne Mae Ellis
- Julie S. Eveleigh
All providers in Bloomfield, NY · Licensed Practical 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 Sep 16, 2020. 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.