Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 7868 | CT |
Y | 363LA2100X | Nurse Practitioner - Acute Care | 7868 | CT |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 7868 | CT |
NPI | 1366926693 |
---|---|
Provider Name | Sarah Leigh Buydos |
First Address | Hartford, CT 06102-5037 |
Second Address | Hartford, CT 06102-5037 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2018 |
Last Update Date | 02/11/2018 |