Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | 1039 | NH |
NPI | 1144622069 |
---|---|
Provider Name | Dr. Sarah E Churchill |
First Address | Nashua, NH 03060-3046 |
Second Address | Nashua, NH 03060-3046 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/09/2014 |
Last Update Date | 03/01/2022 |