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Individual
MS. SANDRA M. NUZUM
Active
Individual
MS. SANDRA M. NUZUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
APRNCNM07498
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000320549
ANTHEM
OH
01
—
05225
PARAMOUNT
OH
05
—
2454044
—
OH
01
—
344428256
BEECH STREET
OH
01
—
344428256088
CARESOURCE
OH
05
—
4584759
—
MI
05
—
4584768
—
MI
Enumeration date
07/13/2005
Last updated
08/02/2017
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