Provider Demographics
NPI:1144341496
Name:SATHER, POLLY (APRN)
Entity type:Individual
Prefix:MRS
First Name:POLLY
Middle Name:
Last Name:SATHER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:POLLY
Other - Middle Name:
Other - Last Name:MARGULES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:300 GEORGE ST
Mailing Address - Street 2:YALE MEDICAL GROUP
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511-6624
Mailing Address - Country:US
Mailing Address - Phone:203-200-5864
Mailing Address - Fax:203-688-3501
Practice Address - Street 1:20 YORK ST
Practice Address - Street 2:THORACIC ONCOLOGY
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510-3220
Practice Address - Country:US
Practice Address - Phone:203-200-5864
Practice Address - Fax:203-200-5864
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2014-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT061910363LC0200X
CT002673363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LC0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT061910OtherAPRN STATE LICENSE