# DONNA S SANDLIN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1033159223
- **Gender:** F
- **Credential:** APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 1083411 | KY | — |
| 363L00000X | Nurse Practitioner | 3791P | KY | Yes |

## Other

- **Enumeration date:** 06/07/2006
- **Last updated:** 02/08/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000514608 | BLUE CROSS BLUE SHEILD | KY |
| 01 | — | 000000586717 | BLUE CROSS & BLUE SHIELD | KY |
| 01 | — | 7100014610 | MEDICAID NP GROUP NUMBER | KY |
| 05 | — | 78008273 | — | KY |
| 01 | — | P00409709 | RAILROAD MEDICARE | KY |