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Ms. Mary E Sandeen, CPNP
Pediatric Nurse Practitioner in Prescott, Arizona
NPI 1639193881

Mary E Sandeen is a Pediatric Nurse Practitioner based in Prescott, AZ and is specialized in Pediatrics. Mary E Sandeen practices in Prescott, AZ and has the professional credentials of CPNP. The NPI Number for Mary E Sandeen is 1639193881 and holds a License No. RN104425 (Arizona).

The current practice location address for Mary E Sandeen is 1003 Willow Creek Rd, Prescott, AZ and can be reached out via phone at 928-771-5662 and via fax at 928-771-5249.

Location: 1003 Willow Creek Rd, Prescott, AZ, 86301-1641
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639193881
Provider Name
Mary E Sandeen
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
1003 Willow Creek Rd, Prescott, AZ, 86301-1641
Phone Number
928-771-5662
Fax Number
928-771-5249
Provider Enumeration Date
07/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
468373 05 AZ
institution
Provider Business Practice Location Address Details
Address
1003 Willow Creek Rd
City
Prescott
State
Arizona
Zip
86301-1641
Phone Number
928-771-5662
Fax Number
928-771-5249
person
Provider Business Mailing Address Details
Address
1003 Willow Creek Rd
City
Prescott
State
Arizona
Zip
86301-1641
Phone Number
928-771-5662
Fax Number
928-771-5249
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
RN104425 (Arizona)
Definition
Definition to come...
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