Individual
SARA MACPHERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
398 NEPONSET AVE, DORCHESTER, MA 02122-3134
(617) 282-3200
Mailing address
398 NEPONSET AVE, DORCHESTER, MA 02122-3134
(617) 282-3200
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
2292071
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2292071
REGISTERED NURSE
MA
Enumeration date
05/08/2019
Last updated
05/08/2019
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