Individual
SHEILA SABLON DECASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
55 FRUIT ST, WACC - 455, BOSTON, MA 02114-2621
(617) 763-0852
Mailing address
6 CHASE LN, FOXBORO, MA 02035-1064
(617) 763-0852
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN215699
MA
363LA2200X
Adult Health Nurse Practitioner
Primary
RN215699
MA
363LG0600X
Gerontology Nurse Practitioner
RN215699
MA
Other
Enumeration date
08/16/2012
Last updated
11/28/2013
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