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Ms. Stephanie Ellen Boosahda, LPN
Licensed Practical Nurse in South Yarmouth, Massachusetts
NPI 1275065047

Stephanie Ellen Boosahda is a Licensed Practical Nurse based in South Yarmouth, MA. Stephanie Ellen Boosahda practices in South Yarmouth, MA and has the professional credentials of LPN. The NPI Number for Stephanie Ellen Boosahda is 1275065047 and holds a License No. LPN57523 (Massachusetts).

The current practice location address for Stephanie Ellen Boosahda is 654 Willow St, South Yarmouth, MA and can be reached out via phone at 508-360-6227.

Location: 654 Willow St, South Yarmouth, MA, 02664-5636
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275065047
Provider Name
Stephanie Ellen Boosahda
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
654 Willow St, South Yarmouth, MA, 02664-5636
Phone Number
508-360-6227
Fax Number
Provider Enumeration Date
03/31/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LPN57523 01 MA MASSACHUSETTS BOARD OF NURSING
institution
Provider Business Practice Location Address Details
Address
654 Willow St
City
South Yarmouth
State
Massachusetts
Zip
02664-5636
Phone Number
508-360-6227
Fax Number
person
Provider Business Mailing Address Details
Address
654 Willow St
City
South Yarmouth
State
Massachusetts
Zip
02664-5636
Phone Number
508-360-6227
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
LPN57523 (Massachusetts)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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