Provider Demographics
NPI:1043487705
Name:ROTZ, SARAH FERRARI (PNP)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:FERRARI
Last Name:ROTZ
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:326 CHERRY ST
Mailing Address - Street 2:UNIT 1
Mailing Address - City:WEST NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02465-1642
Mailing Address - Country:US
Mailing Address - Phone:617-548-0347
Mailing Address - Fax:
Practice Address - Street 1:326 CHERRY ST
Practice Address - Street 2:UNIT 1
Practice Address - City:WEST NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02465
Practice Address - Country:US
Practice Address - Phone:617-548-0347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-13
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA254541363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics