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NPI Code Detail

MEDICARE: SARAH SIMONELLI RN

MEDICARE:   SARAH  SIMONELLI  RN
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerRN237619MA

General Provider Information

NPI Number : 1205234390
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH SIMONELLI RN
Provider Business Mailing Address
First Line : 259A NORTH ST
Second Line :
City : HYANNIS
State : MA
Zip : 02601-3823
Country : US
Telephone Number : 508-862-0514
Fax Number :
Provider Business Practice Location Address
First Line : 259A NORTH ST
Second Line :
City : HYANNIS
State : MA
Zip : 02601-3823
Country : US
Telephone Number : 508-862-0514
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2014
Last Update Date : 10/22/2023

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