Sandra Medakovich, NP
Nurse Practitioner in Worcester, Massachusetts
1811403876- Practice location
- 366 Shrewsbury St, Worcester, MA 01604-4647
- Phone
- 508-368-7890
- Fax
- 508-796-8111
- Last updated
- July 20, 2022
Sandra Medakovich is a Nurse Practitioner based in Worcester, MA. Sandra Medakovich practices in Worcester, MA and has the professional credentials of NP. The NPI Number for Sandra Medakovich is 1811403876 and holds a License No. APRN-3475 (HI). The current practice location address for Sandra Medakovich is 366 Shrewsbury St, Worcester, MA 01604-4647 and can be reached out via phone at 508-368-7890 and via fax at 508-796-8111.
Provider Profile Details
- NPI Number
- 1811403876
- Provider Name
- Sandra Medakovich
- Credential
- NP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 366 Shrewsbury St, Worcester, MA 01604-4647
- Phone Number
- 508-368-7890
- Fax Number
- 508-796-8111
- Primary Taxonomy
- Nurse Practitioner · 363L00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 28, 2017
- Last Update Date
- July 20, 2022
- Certification Date
- July 20, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 366 Shrewsbury St
Worcester, MA 01604-4647 - City
- Worcester
- State
- Massachusetts
- Zip
- 01604-4647
- Phone Number
- 508-368-7890
- Fax Number
- 508-796-8111
Provider Business Mailing Address Details
- Address
- 366 Shrewsbury St
Worcester, MA 01604-4647 - City
- Worcester
- State
- MA
- Zip
- 01604-4647
- Phone Number
- 508-368-7890
- Fax Number
- 508-796-8111
License Information
- License Number (1)
- APRN-3475
- License State (1)
- HI
- Taxonomy (1)
- Nurse Practitioner · 363L00000X
- License Number (2)
- 209.023232
- License State (2)
- IL
- Taxonomy (2)
- Nurse Practitioner · 363L00000X
- License Number (3)
- AP61055169
- License State (3)
- WA
- Taxonomy (3)
- Nurse Practitioner · 363L00000X
- License Number (4)
- 345737
- License State (4)
- NY
- Taxonomy (4)
- Nurse Practitioner, Primary Care · 363LP2300X
- License Number (5)
- RN2303850
- License State (5)
- MA
- Taxonomy (5)
- Nurse Practitioner · 363L00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioners near Worcester, MA
View all Nurse Practitioners in Worcester →- Abraham Ballah, NPNurse Practitioner · NPI 1578716338
- Addie Lawrence, NPNurse Practitioner · NPI 1639231426
- Alana Bassett, NPNurse Practitioner · NPI 1679250500
- Alice R Bonner, GNPNurse Practitioner · NPI 1366427551
- Allison E Bitto, WHNP, RNNurse Practitioner · NPI 1043636012
- Amanam O Ekwere, CNPNurse Practitioner · NPI 1326499468
Frequently Asked Questions
What is the NPI number of Sandra Medakovich, NP?
The NPI number of Sandra Medakovich, NP is 1811403876. It was assigned on December 28, 2017 and is currently active in the NPPES registry.
What is the specialty of Sandra Medakovich, NP?
Sandra Medakovich, NP is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in HI under license number APRN-3475.
Where does Sandra Medakovich, NP practice?
The practice location is 366 Shrewsbury St, Worcester, MA 01604-4647. The office can be reached at 508-368-7890 (phone) or 508-796-8111 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1811403876 directly on the NPPES registry website.