Provider Demographics
NPI:1053323360
Name:PINKERTON-BONNEAU, SARAH (RN CERTIFIED)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:PINKERTON-BONNEAU
Suffix:
Gender:F
Credentials:RN CERTIFIED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:453 US ROUTE 1
Mailing Address - Street 2:
Mailing Address - City:KITTERY
Mailing Address - State:ME
Mailing Address - Zip Code:03904-5513
Mailing Address - Country:US
Mailing Address - Phone:207-439-8391
Mailing Address - Fax:207-282-7509
Practice Address - Street 1:453 US ROUTE 1
Practice Address - Street 2:
Practice Address - City:KITTERY
Practice Address - State:ME
Practice Address - Zip Code:03904-5513
Practice Address - Country:US
Practice Address - Phone:207-439-8391
Practice Address - Fax:207-282-7509
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME251247163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health