MS. SANDRA ELIZABETH DWAN (NPI# 1457861502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457861502 |
Entity Type | Individual |
Full Name | MS. SANDRA ELIZABETH DWAN |
Credential | FNP-C |
Practice Address |
1900 Main St Tewksbury MA 01876-2112 |
Practice Telephone | 9788516856 |
Mailing Telephone | 9788516856 |
Enumeration Date | 2017-10-03 |
Last Update Date | 2019-05-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN2272871 | MA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1900 MAIN ST |
City | TEWKSBURY |
State | MA |
Zip Code | 01876-2112 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013451921 | Charmy Patel | Nurse Practitioner | 1900 Main St, Tewksbury, MA 01876-2112 | 2016-12-12 |
1861774226 | Kristin Ann Stead | Nurse Practitioner | 1900 Main St, Tewksbury, MA 01876-2112 | 2011-09-12 |
1396025169 | Wendy W Drastal | Nurse Practitioner | 1900 Main St, Tewksbury, MA 01876 | 2011-08-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114224672 | Make It Easy Medical Devices | Durable Medical Equipment & Medical Supplies | 410 Woburn Street, Tewksbury, Tewksbury, MA 01876 | 2011-02-18 |
1538329883 | Donna M Schneider | Mechanotherapist | 1 Dundee Park, Suites 1 & 2, Andover, MA 01876 | 2008-06-11 |
1417139700 | David Anthony Tortorella | Internal Medicine | 170 Main St Units G4-g8, Tewksbury, MA 01876 | 2007-11-29 |
1801086434 | Yvonne Marie Canuel | Long Term Care Hospital | 265 East Street, Tewksbury, MA 01876 | 2007-07-30 |
1851511661 | Sandra Lee Proulx | Licensed Practical Nurse | 10 Arnold Rd, Tewksbury, MA 01876 | 2007-04-26 |
1710004320 | Department of Mental Health | Community Based Residential Treatment Facility, Mental Illness | Tewksbury State Hosp Special Bldg - Merrimack Ctr Birtp, 365 East St, Tewksbury, MA 01876 | 2007-03-26 |
1316002884 | Robert A Karr | Psychiatry & Neurology | North East Area Office, Tewksbury, MA 01876 | 2006-12-26 |
1659448769 | Barbara P Goldsher | Social Worker | 40 Chivas Circle, Tewksbury, MA 01876 | 2006-11-30 |
1457423154 | Boutselis Family Dental Care PC | Dentist | 381r Main Street, Tewksbury, MA 01876 | 2006-11-15 |
1477623189 | Commonwealth of Massachusetts Office for Pharmacy Services | Pharmacy | 369 East St, Tewksbury, MA 01876 | 2006-11-09 |
Find all providers in zip 01876 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952842403 | Catherine Muhia | Nurse Practitioner | 20 Patten Rd, Tewksbury, MA 01876-3924 | 2017-03-16 |
1023079373 | Catherine D Elie | Nurse Practitioner | 1574 Main St, Tewksbury, MA 01876-2067 | 2006-03-28 |
1710989629 | Karen Beth Poushter | Nurse Practitioner | 170 Main St, Williamsburg Park G-06, Tewksbury, MA 01876-1765 | 2005-08-10 |
1639677826 | Rebekah Ashton | Nurse Practitioner | 600 Clark Rd Ste 3, Tewksbury, MA 01876-1698 | 2018-01-23 |
1821514274 | Lisa Helen Diburro | Nurse Practitioner | 600 Clark Rd, Tewksbury, MA 01876-1699 | 2017-08-17 |
1013451921 | Charmy Patel | Nurse Practitioner | 1900 Main St, Tewksbury, MA 01876-2112 | 2016-12-12 |
1871978593 | Michelle E Kannler | Nurse Practitioner | 365 East St, Tewksbury, MA 01876-1950 | 2015-07-23 |
1639423643 | Erin Marie Sweet | Nurse Practitioner | 14 Donna Dr, Tewksbury, MA 01876 | 2012-10-30 |
1184972333 | Tara M. Coyne | Nurse Practitioner | 600 Clark Rd, 2nd Floor, Tewksbury, MA 01876-1699 | 2012-08-20 |
1396025169 | Wendy W Drastal | Nurse Practitioner | 1900 Main St, Tewksbury, MA 01876 | 2011-08-24 |
Find all providers in TEWKSBURY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.