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
Phone: (617) 825-3400
Fax: (617) 825-8899
Website:
Health care specialties
| Specialty | Code | License # | 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 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407834658 | NPPES |
| Massachusetts | MEDICAID | 0700134 |
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