Provider Demographics
NPI:1134256795
Name:MCGAUGHEY, SANDRA JENNIFER (RN)
Entity type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:JENNIFER
Last Name:MCGAUGHEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 CAROLYN DR
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-1606
Mailing Address - Country:US
Mailing Address - Phone:508-224-9159
Mailing Address - Fax:
Practice Address - Street 1:14 CAROLYN DR
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-1606
Practice Address - Country:US
Practice Address - Phone:508-224-9159
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA232370163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics