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Individual

MS. SANDRA K BAMMANN

Active
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Individual

MS. SANDRA K BAMMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28076646
IN
363L00000X
Nurse Practitioner
3008212
KY
363L00000X
Nurse Practitioner
71000024
IN
363L00000X
Nurse Practitioner
Primary
71000024A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100359300A
—
IN
01
—
50005027
RR MEDICARE
IN
05
—
7100267480
—
KY
Enumeration date
10/20/2005
Last updated
09/03/2014
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