Provider Demographics
NPI:1881568509
Name:LAVERTUE, SARAH HELENE (NP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:HELENE
Last Name:LAVERTUE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 BELLEVUE AVE
Mailing Address - Street 2:
Mailing Address - City:LONGMEADOW
Mailing Address - State:MA
Mailing Address - Zip Code:01106-3133
Mailing Address - Country:US
Mailing Address - Phone:413-636-7305
Mailing Address - Fax:
Practice Address - Street 1:28 BELLEVUE AVE
Practice Address - Street 2:
Practice Address - City:LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01106-3133
Practice Address - Country:US
Practice Address - Phone:413-636-7305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-04
Last Update Date:2025-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2288061363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology