| Sarah Elizabeth Mitchell, APRN | |
|
1575 Blue Hill Ave, Mattapan, MA 02126-2122 | |
| (617) 296-0061 | |
| (617) 296-5408 |
| Full Name | Sarah Elizabeth Mitchell |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 1575 Blue Hill Ave, Mattapan, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679315766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | RN10026153 (Massachusetts) | Primary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 13745 (Connecticut) | Secondary |
| Entity Name | Community Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952591851 PECOS PAC ID: 0547169138 Enrollment ID: O20040102000412 |
| Mailing Address | Practice Location Address |
|---|---|
| Sarah Elizabeth Mitchell, APRN 1575 Blue Hill Ave, Mattapan, MA 02126-2122 Ph: (617) 296-0061 | Sarah Elizabeth Mitchell, APRN 1575 Blue Hill Ave, Mattapan, MA 02126-2122 Ph: (617) 296-0061 |
Olasumbo Fadiya, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7 Cragmere Ter, Apt. #1, Mattapan, MA 02126 Phone: 617-407-5875 | |
Mrs. Elizabeth A. Maffie, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1135 Morton St, Mattapan, MA 02126 Phone: 617-533-2400 Fax: 617-533-2478 | |
Ms. Laverne Lydia Dickson, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1575 Blue Hill Ave, Mattapan, MA 02126 Phone: 617-296-0061 | |
Mr. Richard Thomas Gunn, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1135 Morton St, Mattapan, MA 02126 Phone: 617-533-2400 | |
Ruth A. Raczkowski, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1135 Morton St, Mattapan, MA 02126 Phone: 617-533-2400 Fax: 617-533-2401 | |
Laura L. Stanley, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1135 Morton Street, Mattapan, MA 02126 Phone: 617-533-2400 Fax: 617-533-2401 |