Individual
MS. SANDRINA RODRIGUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
50 MEMORIAL DRIVE, SUITE 214, LEOMINSTER, MA 01453
(978) 534-6863
(978) 534-3417
Mailing address
50 MEMORIAL DRIVE, SUITE 111, LEOMINSTER, MA 01453
(978) 466-2148
(978) 466-2128
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
263758
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110076979A
MASSHEALTH
MA
Enumeration date
10/16/2007
Last updated
07/16/2014
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