Provider Demographics
NPI:1730987793
Name:KILIAN, SARAH JANE (APRN)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:JANE
Last Name:KILIAN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:288 MERRY CIR
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CT
Mailing Address - Zip Code:06477-3417
Mailing Address - Country:US
Mailing Address - Phone:203-500-0281
Mailing Address - Fax:
Practice Address - Street 1:97 BARNES RD STE 6
Practice Address - Street 2:
Practice Address - City:WALLINGFORD
Practice Address - State:CT
Practice Address - Zip Code:06492-1885
Practice Address - Country:US
Practice Address - Phone:203-265-9890
Practice Address - Fax:203-265-3321
Is Sole Proprietor?:No
Enumeration Date:2025-03-05
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT14112363LF0000X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily