Individual
SARAH STOLLAR SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
85 1ST AVE, WALTHAM, MA 02451-1105
(781) 647-7246
(781) 290-0720
Mailing address
85 1ST AVE, WALTHAM, MA 02451-1105
(781) 647-7246
(781) 290-0720
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP012138
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP012138
ADULT NURSE PRACTITIONER LICENSE
PA
Enumeration date
06/14/2012
Last updated
02/06/2015
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