Individual
SARA ASHLEY SCIALDONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
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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