Provider Demographics
NPI:1447967211
Name:BEDNARZ, SARAH DANEEN (NP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:DANEEN
Last Name:BEDNARZ
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:ROCHA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:PO BOX 3825
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:MA
Mailing Address - Zip Code:02790-0747
Mailing Address - Country:US
Mailing Address - Phone:508-341-6239
Mailing Address - Fax:
Practice Address - Street 1:289 PLEASANT STREET
Practice Address - Street 2:BUILDING 4, SUITE 401
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02721-1236
Practice Address - Country:US
Practice Address - Phone:508-679-2505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-01
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2317624363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner