# AYISHA SANDA

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

## Provider details

- **NPI number:** 1659042844
- **Gender:** F
- **Credential:** PMHNP-BC, APRN-CNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 897183 | TX | — |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | 202114666RN | OR | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 1057466 | TX | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 202114948 | OR | — |

## Other

- **Enumeration date:** 09/27/2021
- **Last updated:** 07/30/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 15458727 | CAQH ID | — |
| 05 | — | 500802692 | — | OR |