Provider Demographics
NPI:1225859895
Name:SAHL, LINDSEY (RN, BSN)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:SAHL
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:
Other - Last Name:SAHL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1795 CENTRAL ST UNIT 5308
Mailing Address - Street 2:
Mailing Address - City:STOUGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02072-1468
Mailing Address - Country:US
Mailing Address - Phone:617-827-7722
Mailing Address - Fax:
Practice Address - Street 1:3 GILLIAN DR
Practice Address - Street 2:
Practice Address - City:LAKEVILLE
Practice Address - State:MA
Practice Address - Zip Code:02347-1733
Practice Address - Country:US
Practice Address - Phone:617-827-7722
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-17
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2377683163WI0500X, 163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WP0200XNursing Service ProvidersRegistered NursePediatricsGroup - Multi-Specialty
No163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy