Individual
SARAH MOORE-EDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC, RN-BC
Contact information
Practice address
224 HUNNEWELL ST, NEEDHAM HEIGHTS, MA 02494
(781) 264-4251
Mailing address
224 HUNNEWELL ST, NEEDHAM HEIGHTS, MA 02494-1450
(781) 264-4251
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN269700
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN269700
MA
Other
Enumeration date
07/24/2018
Last updated
08/29/2018
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