Individual
SANDRA JEAN MCDONALD
Active
Individual
SANDRA JEAN MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
277198
MA
363LA2100X
Acute Care Nurse Practitioner
Primary
071114-23
NH
363LA2100X
Acute Care Nurse Practitioner
RN277198
MA
Other
Enumeration date
06/04/2016
Last updated
12/18/2018
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