Scialdone, Sara Ashley

Scialdone, Sara Ashley is an individual health care provider with primary practice located at 1 Pearl St Suite 2100, Brockton MA 02301-2864. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Scialdone, Sara Ashley can be contacted via phone (508) 897-6040.

Contact Information

Primary practice address
1 Pearl St Suite 2100 Brockton MA 02301-2864
Phone: (508) 897-6040
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 2267899 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2267899 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN2267899 Massachusetts

Profile Details

NPI number 1316323553
LBN Legal business name Scialdone, Sara Ashley
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2015
Last updated Sep 26th, 2019 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316323553 NPPES
Other 363LF0000X TAXONOMY CODE
MEDICAID 110108491A TAXONOMY CODE

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