Provider Demographics
NPI:1497630198
Name:RAINVILLE, SARAH GERMAINE
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:GERMAINE
Last Name:RAINVILLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 SWAMP RD
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VT
Mailing Address - Zip Code:05454-9775
Mailing Address - Country:US
Mailing Address - Phone:802-393-1417
Mailing Address - Fax:
Practice Address - Street 1:3649 LOWER NEWTON RD
Practice Address - Street 2:
Practice Address - City:SWANTON
Practice Address - State:VT
Practice Address - Zip Code:05488-8531
Practice Address - Country:US
Practice Address - Phone:802-527-7564
Practice Address - Fax:802-427-5015
Is Sole Proprietor?:No
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT101.0138033363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health