SANDRA A. LEO-CLARK RN NPI 1821589185

NPI Information

NPI: 1821589185
Provider Name: SANDRA A. LEO-CLARK, RN
Classification: Registered Nurse - 163WP2201X
Entity Type: Individual

Specialization: Ambulatory Care

Address:
253 WHISTLEBERRY DR
MARSTONS MILLS, MA
ZIP 02648
Phone: (508) 364-0690
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Sandra A. Leo-clark, RN is an ambulatory care registered nurse in Marstons Mills, MA. Sandra A. Leo-clark, RN NPI is 1821589185. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

253 WHISTLEBERRY DR
MARSTONS MILLS, MA
ZIP 02648-447
Phone: (508) 364-0690

The enumeration date for this NPI number is 5/22/2018 and was last updated on 6/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP2201X	Registered Nurse	Ambulatory Care	168434	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	163WP2201X	MEDICAID	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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