Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
SANDRA R GATES-MANNA
Active
Individual
SANDRA R GATES-MANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
28125285A
IN
363LF0000X
Family Nurse Practitioner
Primary
71003896A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000758275
ANTHEM BCBS
IN
01
—
151020006
MEDICARE PTAN
IN
05
—
201059520
—
IN
Enumeration date
12/07/2011
Last updated
05/28/2026
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