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Individual
SANDRA NICOLE DINWIDDIE
Active
Individual
SANDRA NICOLE DINWIDDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A-GNP
Taxonomy
Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
AP10488
AZ
363L00000X
Nurse Practitioner
AP10488
AZ
363LA2200X
Adult Health Nurse Practitioner
Primary
AP10488
AZ
363LG0600X
Gerontology Nurse Practitioner
AP10488
AZ
Other
Enumeration date
11/19/2016
Last updated
09/30/2020
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