Desmond, Sarah Rachel

Desmond, Sarah Rachel is an individual health care provider with primary practice located at 632 Blue Hill Ave Harvard Street Neighborhood Health Center, Dorchester MA 02121-3213. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Desmond, Sarah Rachel can be contacted via phone (617) 825-3400.

Contact Information

Primary practice address
632 Blue Hill Ave Harvard Street Neighborhood Health Center Dorchester MA 02121-3213
Fax: (617) 825-8899
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 204400 Massachusetts

Profile Details

NPI number 1407834658
LBN Legal business name Desmond, Sarah Rachel
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2006
Last updated Mar 14th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407834658 NPPES
Massachusetts MEDICAID 0700134

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