Provider Demographics
NPI:1043945678
Name:ZIOBRO, SARAH ELISABETH (FNP)
Entity Type:Individual
Prefix:MISS
First Name:SARAH
Middle Name:ELISABETH
Last Name:ZIOBRO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:452 BROADWAY APT 3
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-4158
Mailing Address - Country:US
Mailing Address - Phone:315-657-3663
Mailing Address - Fax:
Practice Address - Street 1:480 LYNNFIELD ST
Practice Address - Street 2:
Practice Address - City:LYNN
Practice Address - State:MA
Practice Address - Zip Code:01904-1419
Practice Address - Country:US
Practice Address - Phone:781-593-3400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-18
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2347951363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily