Individual
SARAH T. DIBARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
725 ALBANY STREET, SUITE 7B, SHAPIRO BLDG., BOSTON, MA 02118
(617) 638-8456
(617) 638-8465
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2308467
MA
363L00000X
Nurse Practitioner
RN2308467
MA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN2308467
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110214540A
—
MA
Enumeration date
07/03/2024
Last updated
10/11/2024
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