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Individual

SARA ASHLEY SCIALDONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
1 PEARL ST, SUITE 2100, BROCKTON, MA 02301-2864
(508) 897-6040
Mailing address
1 PEARL ST, SUITE 2100, BROCKTON, MA 02301-2864
(508) 897-6040

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2267899
MA
363LF0000X
Family Nurse Practitioner
2267899
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2267899
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110108491A
MA
01
363LF0000X
TAXONOMY CODE
Enumeration date
08/10/2015
Last updated
09/26/2019
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