Individual
SARAH S SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 LAKE AVE N, DEPT OF CRITICAL CARE, WORCESTER, MA 01655-0002
(774) 443-7552
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN280377
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110089999A
—
MA
Enumeration date
08/24/2011
Last updated
11/09/2020
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