Sandra Atelene Blackwood, RN. BSN
Individual provider Active NPI Pediatric Registered Nurse · Dedham, MA
NPI 1467573733 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1467573733
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Registered Nurse 163WP0200X
- License
- 267784 (MA)
- Practice address
- 13 Wiggin Ave
Dedham, MA 02026-1600 - Phone
- (617) 519-0651
- NPI assigned
- Apr 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor on Science - Nursing
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blackwood Health LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | 267784 | MA | Yes |
Addresses
Primary practice location
13 Wiggin Ave
Dedham, MA 02026-1600
Mailing address
13 Wiggin Ave
Dedham, MA 02026-1600
Phone (617) 519-0651
Other providers in Dedham, MA
- Julie J Bilgor
- Kathryn Dobbin Binda
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- BJS Wholesale Club Inc
- Blackwood Health LLC
- Thrishline Blaise
- David G Blom
- BMSH II LCB Dedham Ma LLC
- Rose Thomas Bobby
- Emily Mary Bojorquez
All providers in Dedham, MA · Pediatric Registered Nurse in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.