Provider Demographics
NPI:1902801038
Name:SAGER, BARBARA ANN (NP)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:ANN
Last Name:SAGER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 VILLAGE RD
Mailing Address - Street 2:
Mailing Address - City:EAST CORINTH
Mailing Address - State:VT
Mailing Address - Zip Code:05040-9783
Mailing Address - Country:US
Mailing Address - Phone:802-439-5321
Mailing Address - Fax:802-439-6783
Practice Address - Street 1:720 VILLAGE RD
Practice Address - Street 2:
Practice Address - City:EAST CORINTH
Practice Address - State:VT
Practice Address - Zip Code:05040-9783
Practice Address - Country:US
Practice Address - Phone:802-439-5321
Practice Address - Fax:802-439-6783
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2010-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT1010014039363LA2200X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30344367Medicaid
VT1005327Medicaid
NHNP5436Medicare PIN
VTNP1162Medicare PIN
VT1005327Medicaid