MEDICARE: MRS. SANDRA ARLENE CIAFFONI NP

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
1	363LF0000X	Family Nurse Practitioner	176810	MA

General Provider Information

NPI Number	:	1912098609
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SANDRA ARLENE CIAFFONI NP

Provider Business Mailing Address
First Line	:	161 CUSHMAN RD
Second Line	:
City	:	ROCHESTER
State	:	MA
Zip	:	02770-1523
Country	:	US
Telephone Number	:	508-273-5102
Fax Number	:	978-657-8345

Provider Business Practice Location Address
First Line	:	161 CUSHMAN RD
Second Line	:
City	:	ROCHESTER
State	:	MA
Zip	:	02770-1523
Country	:	US
Telephone Number	:	508-273-5102
Fax Number	:	978-657-8345

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	05/02/2016

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