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NPI Code Detail

MEDICARE: SANDRA DAVIDSON LPN

MEDICARE: SANDRA DAVIDSON LPN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical NurseLN89840MA

General Provider Information

NPI Number : 1730021718
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA DAVIDSON LPN
Provider Business Mailing Address
First Line : 40 HAVERHILL ST
Second Line :
City : NORTH READING
State : MA
Zip : 01864-2719
Country : US
Telephone Number : 781-223-2104
Fax Number :
Provider Business Practice Location Address
First Line : 40 HAVERHILL ST
Second Line :
City : NORTH READING
State : MA
Zip : 01864-2719
Country : US
Telephone Number : 781-223-2104
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2026
Last Update Date : 04/08/2026

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Directions to “ SANDRA DAVIDSON LPN” Practice Location

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