Individual
SANDRA MEDAKOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
366 SHREWSBURY ST, WORCESTER, MA 01604-4647
(508) 368-7890
(508) 796-8111
Mailing address
366 SHREWSBURY ST, WORCESTER, MA 01604-4647
(508) 368-7890
(508) 796-8111
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209.023232
IL
363L00000X
Nurse Practitioner
AP61055169
WA
363L00000X
Nurse Practitioner
APRN-3475
HI
363L00000X
Nurse Practitioner
Primary
RN2303850
MA
363LP2300X
Primary Care Nurse Practitioner
345737
NY
Other
Enumeration date
12/28/2017
Last updated
07/20/2022
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