Provider Demographics
NPI:1801867858
Name:PRINCIPATO SAWYER, DONNA (RN,CS,MSN)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:PRINCIPATO SAWYER
Suffix:
Gender:F
Credentials:RN,CS,MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 LEHAN ST
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MA
Mailing Address - Zip Code:02021-3107
Mailing Address - Country:US
Mailing Address - Phone:617-696-9530
Mailing Address - Fax:
Practice Address - Street 1:60 ADAMS ST
Practice Address - Street 2:60 ADAMS ST. STE 208
Practice Address - City:MILTON
Practice Address - State:MA
Practice Address - Zip Code:02186-3437
Practice Address - Country:US
Practice Address - Phone:617-696-9530
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-29
Last Update Date:2017-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA142161163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult