Provider Demographics
NPI:1134960842
Name:DILBARIAN, SARA MARY (DNP, WHNP, MSN, RN)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:MARY
Last Name:DILBARIAN
Suffix:
Gender:F
Credentials:DNP, WHNP, MSN, RN
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:MARY
Other - Last Name:DAMATA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:11R ARBETTER DR
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01701-2705
Mailing Address - Country:US
Mailing Address - Phone:508-808-4299
Mailing Address - Fax:
Practice Address - Street 1:470 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01609-1823
Practice Address - Country:US
Practice Address - Phone:508-854-3300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-05
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2363256163W00000X
MA104592980363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163W00000XNursing Service ProvidersRegistered Nurse