Individual
SARAH SALLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
450 BROOKLINE AVE, BOSTON, MA 02215-5418
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2337273
MA
Other
Enumeration date
10/01/2019
Last updated
01/28/2020
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