Medakovich, Sandra

Medakovich, Sandra is an sole proprietor health care provider with primary practice located at 366 Shrewsbury St , Worcester MA 01604-4647. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Medakovich, Sandra can be contacted via phone (508) 368-7890.

Contact Information

Primary practice address
366 Shrewsbury St Worcester MA 01604-4647
Phone: (508) 368-7890
Fax: (508) 796-8111
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN-3475 Hawaii
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209.023232 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP61055169 Washington
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 345737 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN2303850 Massachusetts

Profile Details

NPI number 1811403876
LBN Legal business name Medakovich, Sandra
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2017
Last updated Jul 20th, 2022 - about 2 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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