Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | RN2270156 | MA |
NPI | 1033595210 |
---|---|
Provider Name | Jennifer Sadeck |
First Address | Westport, MA 02790-3729 |
Second Address | Fall River, MA 02720-3703 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2015 |
Last Update Date | 26/11/2015 |