Provider Demographics
NPI:1881662336
Name:OSGOOD, SARAH L (RN, CPNP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:L
Last Name:OSGOOD
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Gender:F
Credentials:RN, CPNP
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Mailing Address - Street 1:150 LOWER WESTFIELD RD
Mailing Address - Street 2:STE1
Mailing Address - City:HOLYOKE
Mailing Address - State:MA
Mailing Address - Zip Code:01040-2767
Mailing Address - Country:US
Mailing Address - Phone:413-536-2393
Mailing Address - Fax:413-563-1087
Practice Address - Street 1:150 LOWER WESTFIELD RD
Practice Address - Street 2:STE1
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040-2767
Practice Address - Country:US
Practice Address - Phone:413-536-2393
Practice Address - Fax:413-563-1087
Is Sole Proprietor?:No
Enumeration Date:2006-03-10
Last Update Date:2015-09-02
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Provider Licenses
StateLicense IDTaxonomies
MA206859363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAS92796Medicare UPIN