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MS. STEPHANIE ELLEN BOOSAHDA LPN
NPI 1275065047
Licensed Practical Nurse in South Yarmouth, MA

Active since March 31, 2017
654 WILLOW ST, BASS RIVER, SOUTH YARMOUTH, MA 02664(508) 360-6227 Get Directions Write a Review

NPPES record last updated: March 31, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Stephanie Ellen Boosahda Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. STEPHANIE ELLEN BOOSAHDA LPN (NPI 1275065047) is an individual licensed practical nurse in South Yarmouth, Massachusetts, licensed in Massachusetts (LPN57523) and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1275065047
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMS. STEPHANIE ELLEN BOOSAHDACredential: LPN
Location Address654 WILLOW ST, BASS RIVERSouth Yarmouth, MA 02664-5636
Mailing Address654 Willow St, Bass RiverSouth Yarmouth, MA 02664-5636 · (508) 360-6227
Phone(508) 360-6227
Sole ProprietorYes
Enumeration DateMarch 31, 2017
✔ NPI 1275065047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MA · LPN57523
Definition
A licensed practical nurse 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.
654 WILLOW ST, South Yarmouth, MA 02664
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Other Identifiers 1

OtherLPN57523MA · Massachusetts Board Of Nursing

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Boosahda's NPI number?

The NPI number for Stephanie Boosahda is 1275065047. It was assigned to this individual provider in the NPPES registry on March 31, 2017.

Where is Stephanie Boosahda located?

Stephanie Boosahda practices at 654 Willow St Bass River, South Yarmouth, MA 02664. The listed phone number is (508) 360-6227.

What is Stephanie Boosahda's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Stephanie Boosahda was last updated on March 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.