Dacosta, Sandra C

Dacosta, Sandra C is an individual health care provider with primary practice located at 225 Field St , New Bedford MA 02740-2134. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Dacosta, Sandra C can be contacted via phone (508) 910-3371.

Contact Information

Primary practice address
225 Field St New Bedford MA 02740-2134
Phone: (508) 910-3371
Fax: (508) 910-3363
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 252152 Massachusetts

Profile Details

NPI number 1023003688
LBN Legal business name Dacosta, Sandra C
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Mar 7th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023003688 NPPES
Massachusetts MEDICAID 0703567

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