# MS. SANDRA K BAMMANN

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

## Provider details

- **NPI number:** 1427047505
- **Gender:** F
- **Credential:** APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 28076646 | IN | — |
| 363L00000X | Nurse Practitioner | 3008212 | KY | — |
| 363L00000X | Nurse Practitioner | 71000024 | IN | — |
| 363L00000X | Nurse Practitioner | 71000024A | IN | Yes |

## Other

- **Enumeration date:** 10/20/2005
- **Last updated:** 09/03/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100359300A | — | IN |
| 01 | — | 50005027 | RR MEDICARE | IN |
| 05 | — | 7100267480 | — | KY |