Sarah Christianson

Individual provider Active NPI Adult Health Nurse Practitioner · Plainville, MA

NPI 1780043687 · NPPES record last updated Dec 10, 2016

Key facts

NPI
1780043687
Entity type
Individual (NPI type 1)
Primary specialty
Adult Health Nurse Practitioner 363LA2200X
License
RN2299600 (MA)
Practice address
111 Washington St
Suite 104
Plainville, MA 02762-2155
Phone
(508) 699-2222
NPI assigned
Feb 19, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2299600MAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Square Weightloss, LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN2299600 MA
Adult Health Nurse Practitioner 363LA2200X RN2299600 MA Yes

Addresses

Primary practice location

111 Washington St
Suite 104
Plainville, MA 02762-2155

Mailing address

111 Washington St
Suite 104
Plainville, MA 02762-2155
Phone (508) 699-2222

Other providers in Plainville, MA

All providers in Plainville, MA · Adult Health Nurse Practitioner in Massachusetts

Sources for this page

Verify at the official NPI Registry.