Provider Demographics
NPI:1902289234
Name:BASKIND, SARAH MORENCY (FNP-BC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:MORENCY
Last Name:BASKIND
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:MORENCY
Other - Last Name:RUDOLPH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:46 BARRA RD STE 101
Mailing Address - Street 2:
Mailing Address - City:BIDDEFORD
Mailing Address - State:ME
Mailing Address - Zip Code:04005-9461
Mailing Address - Country:US
Mailing Address - Phone:207-282-5509
Mailing Address - Fax:207-294-3543
Practice Address - Street 1:46 BARRA RD STE 101
Practice Address - Street 2:
Practice Address - City:BIDDEFORD
Practice Address - State:ME
Practice Address - Zip Code:04005-9461
Practice Address - Country:US
Practice Address - Phone:207-282-5509
Practice Address - Fax:207-294-3543
Is Sole Proprietor?:No
Enumeration Date:2015-07-06
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY686949163W00000X
MERN84158163W00000X
NJ26NR18425700163W00000X
NJ26NJ00635000363LF0000X
NY340324363LF0000X
MECNP221651363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse