Doctor Name: | SANDRA VENTURA |
NPI Number: | 1023218112 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 712733 |
Business Practice Address: | 541 High St Westwood, MA - 020901628 |
Business Phone Number: | 7813267700 |
Business Fax Number: | 7812510910 |
Mailing Address: | 541 High St, WESTWOOD |
State: | MA |
Postal Code: | 020901628 |
Phone Number: | 7813267700 |
Fax Number: | 7812510910 |
NPI Enumeration Date: | 07/18/2007 |
NPI Last Update Date: | 07/18/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 712733 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |