Provider Demographics
NPI:1316713183
Name:GILLETT, SARAH KATHARINE (CNM)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:KATHARINE
Last Name:GILLETT
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:KATHARINE
Other - Last Name:MARCISAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 95000-8363
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19195-0001
Mailing Address - Country:US
Mailing Address - Phone:888-445-8745
Mailing Address - Fax:
Practice Address - Street 1:264 MAIN ST
Practice Address - Street 2:
Practice Address - City:NEW PALTZ
Practice Address - State:NY
Practice Address - Zip Code:12561-1612
Practice Address - Country:US
Practice Address - Phone:845-255-7901
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-01
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife