Provider Demographics
NPI:1306715743
Name:AMADO, SANDRA BARBOSA (RN-BSN)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:BARBOSA
Last Name:AMADO
Suffix:
Gender:F
Credentials:RN-BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:92 HIGH ST STE DH7
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02155-3838
Mailing Address - Country:US
Mailing Address - Phone:781-854-3288
Mailing Address - Fax:
Practice Address - Street 1:92 HIGH ST STE DH7
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02155-3838
Practice Address - Country:US
Practice Address - Phone:781-854-3288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-03
Last Update Date:2025-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2298778163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical