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NPI Code Detail

MEDICARE: SARAH SQUILLACE APRN

MEDICARE: SARAH SQUILLACE APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN2372867MA

General Provider Information

NPI Number : 1134071046
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH SQUILLACE APRN
Provider Business Mailing Address
First Line : 14 CEDAR HILL TER
Second Line :
City : SOMERS
State : CT
Zip : 06071-1206
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 300 LONGWOOD AVE
Second Line :
City : BOSTON
State : MA
Zip : 02115-5724
Country : US
Telephone Number : 617-355-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2026
Last Update Date : 02/12/2026

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Directions to “ SARAH SQUILLACE APRN” Practice Location

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