MEDICARE: SANDRA LEE USHER CNP

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
1	363LF0000X	Family Nurse Practitioner	196446	MA
2	363L00000X	Nurse Practitioner	RN196446	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487833745
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANDRA LEE USHER CNP

Provider Business Mailing Address
First Line	:	PO BOX 415348
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02241-5348
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 MEETING HOUSE RD
Second Line	:	SUITE 8
City	:	CHELMSFORD
State	:	MA
Zip	:	01824-2733
Country	:	US
Telephone Number	:	978-256-2296
Fax Number	:	978-256-2448

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2007
Last Update Date	:	08/15/2022

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