Provider Demographics
NPI:1396077715
Name:SALTONSTALL, SARAH B (RN)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:B
Last Name:SALTONSTALL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O.BOX 632
Mailing Address - Street 2:
Mailing Address - City:AQUINNAH
Mailing Address - State:MA
Mailing Address - Zip Code:02535-0632
Mailing Address - Country:US
Mailing Address - Phone:508-645-9265
Mailing Address - Fax:508-645-2813
Practice Address - Street 1:20 BLACK BROOK RD
Practice Address - Street 2:
Practice Address - City:AQUINNAH
Practice Address - State:MA
Practice Address - Zip Code:02535-1546
Practice Address - Country:US
Practice Address - Phone:508-645-9265
Practice Address - Fax:508-645-2813
Is Sole Proprietor?:No
Enumeration Date:2010-02-10
Last Update Date:2010-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA172894163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care