Basic Information
| Provider Information | |||||||||
| NPI: | 1881662336 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | OSGOOD | ||||||||
| FirstName: | SARAH | ||||||||
| MiddleName: | L | ||||||||
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| Credential: | R.N., C.P.N.P. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 150 LOWER WESTFIELD RD | ||||||||
| Address2: | STE1 | ||||||||
| City: | HOLYOKE | ||||||||
| State: | MA | ||||||||
| PostalCode: | 010402767 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4135362393 | ||||||||
| FaxNumber: | 4135631087 | ||||||||
| Practice Location | |||||||||
| Address1: | 150 LOWER WESTFIELD RD | ||||||||
| Address2: | STE1 | ||||||||
| City: | HOLYOKE | ||||||||
| State: | MA | ||||||||
| PostalCode: | 010402767 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4135362393 | ||||||||
| FaxNumber: | 4135631087 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/10/2006 | ||||||||
| LastUpdateDate: | 09/02/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LP0200X | 206859 | MA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Pediatrics |
No ID Information.