Individual
SARAH SQUILLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
PNP-C
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2372867
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2372867
MA
Other
Enumeration date
02/12/2026
Last updated
03/19/2026
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