Provider Demographics
NPI:1447013172
Name:DONNELLY, SARAH (PA-C)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:DONNELLY
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:1741 BOXWOOD LN
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34105-2243
Mailing Address - Country:US
Mailing Address - Phone:727-560-7166
Mailing Address - Fax:
Practice Address - Street 1:3466 PINE RIDGE RD
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-3883
Practice Address - Country:US
Practice Address - Phone:239-261-2663
Practice Address - Fax:239-262-5633
Is Sole Proprietor?:No
Enumeration Date:2024-02-05
Last Update Date:2024-10-29
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical