Individual
MRS. SARAH LOY GIFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24 NEWTON ST, SOUTHBOROUGH, MA 01772-1215
(508) 460-3190
Mailing address
24 NEWTON ST, SOUTHBOROUGH, MA 01772-1215
(085) 460-3190
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2277419
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2277419
MA
Other
Enumeration date
06/27/2013
Last updated
11/12/2019
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