Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 2282519 | MA |
NPI | 1043680010 |
---|---|
Provider Name | Sara Plummer |
First Address | Norwell, MA 02061-1816 |
Second Address | South Yarmouth, MA 02664-1863 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2015 |
Last Update Date | 16/01/2019 |