Sandra J Velazquez
Nurse Practitioner - Pediatrics
26 Queen St Medical
Worcester
, Massachusetts 01610-2473
Sandra J Velazquez
Nurse Practitioner - Pediatrics
26 Queen St Medical
Worcester
, Massachusetts 01610-2473
(508) 860-7990
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Sandra J Velazquez
- 26 Queen St Medical
- Worcester, MA
- Zip : 01610-2473
- Fax : (508) 860-7990
- Phone : (508) 860-7700
Second Address
- Sandra J Velazquez
- 26 Queen St Medical
- Worcester, MA
- Zip : 01610-2473
- Fax : (508) 860-7990
- Phone : (508) 860-7700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 175591 | MA |
National Provider Identifier
| NPI | 1043220155 |
|---|---|
| Provider Name | Sandra J Velazquez |
| First Address | Worcester, MA 01610-2473 |
| Second Address | Worcester, MA 01610-2473 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/08/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0029009 | NHP (01) | MA |
| 1300709 | (05) | MA |
| 1300709 | CMSP (01) | MA |
| 1300709 | CMSP-GROUP (01) | MA |
| 47954 | FALLON SELECT (01) | MA |
| NP1925 | BCBS (01) | MA |
| S85557 | (02) | MA |
| Y10141 | BCBS-GROUP (01) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.