Individual
SALLY - ANN MASSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
101 PAGE ST, NEW BEDFORD, MA 02740-3464
(508) 997-1515
Mailing address
25 FREETOWN ST, LAKEVILLE, MA 02347-2222
(774) 930-4073
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN216626
MA
367500000X
Certified Registered Nurse Anesthetist
RNA36638
RI
Other
Enumeration date
12/08/2006
Last updated
04/30/2020
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