Healthcare Provider Details

I. General information

NPI: 1518887298
Provider Name (Legal Business Name): SEANAN ELIZABETH EL-DAHER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 PAGE ST
NEW BEDFORD MA
02740-3464
US

IV. Provider business mailing address

15 COLD SPRING ST
PROVIDENCE RI
02906-5106
US

V. Phone/Fax

Practice location:
  • Phone: 508-973-0000
  • Fax:
Mailing address:
  • Phone: 508-241-2705
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2279399
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: