Provider Demographics
NPI:1477832210
Name:AMATO, SARAH MARY DOHERTY (RN, MSN, ANP-BC)
Entity Type:Individual
Prefix:
First Name:SARAH MARY
Middle Name:DOHERTY
Last Name:AMATO
Suffix:
Gender:F
Credentials:RN, MSN, ANP-BC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:415 BOSTON TPKE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:SHREWSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01545-3446
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:415 BOSTON TPKE
Practice Address - Street 2:SUITE 105
Practice Address - City:SHREWSBURY
Practice Address - State:MA
Practice Address - Zip Code:01545-3446
Practice Address - Country:US
Practice Address - Phone:508-845-8200
Practice Address - Fax:508-845-8300
Is Sole Proprietor?:No
Enumeration Date:2011-08-10
Last Update Date:2011-08-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MARN278917363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health