Active NPIIndividual provider

Sandra A Ely, APRN

Nurse Practitioner in Deep River, Connecticut

NPI Number1245146323
Practice location
183 Bushy Hill RD, Deep River, CT 06417-1522
Fax
—
Last updated
August 20, 2026

Sandra Anne Ely is a Nurse Practitioner based in Deep River, CT. Sandra Anne Ely practices in Deep River, CT and has the professional credentials of APRN. The NPI Number for Sandra Anne Ely is 1245146323 and holds a License No. 17874 (CT). The current practice location address for Sandra Anne Ely is 183 Bushy Hill RD, Deep River, CT 06417-1522 and can be reached out via phone at 860-581-3404.

Provider Profile Details

NPI Number
1245146323
Provider Name
Sandra Anne Ely
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
183 Bushy Hill RD, Deep River, CT 06417-1522
Phone Number
860-581-3404
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Provider Enumeration Date
August 20, 2026
Last Update Date
August 20, 2026
Certification Date
August 20, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
183 Bushy Hill RD
Deep River, CT 06417-1522
Zip
06417-1522
Phone Number
860-581-3404
Deep River, CT 06417Get directions →

Provider Business Mailing Address Details

Address
183 Bushy Hill RD
Deep River, CT 06417-1522
City
Deep River
State
CT
Zip
06417-1522

License Information

License Number
17874
License State
CT
Taxonomy
Nurse Practitioner · 363L00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Sandra A Ely, APRN?

The NPI number of Sandra A Ely, APRN is 1245146323. It was assigned on August 20, 2026 and is currently active in the NPPES registry.

What is the specialty of Sandra A Ely, APRN?

Sandra A Ely, APRN is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in CT under license number 17874.

Where does Sandra A Ely, APRN practice?

The practice location is 183 Bushy Hill RD, Deep River, CT 06417-1522. The office can be reached at 860-581-3404 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245146323 directly on the NPPES registry website.

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