# MRS. SANDRA ELDER UTSEY

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

## Provider details

- **NPI number:** 1790063592
- **Gender:** F
- **Credential:** APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 1076668 | KY | — |
| 363L00000X | Nurse Practitioner | 3006888 | KY | Yes |

## Other

- **Enumeration date:** 07/27/2011
- **Last updated:** 01/27/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000726728 | ANTHEM - NRP | KY |
| 01 | — | 000057121KD | HUMANA - NRP | KY |
| 01 | — | 127895 | SIHO - NRP | KY |
| 01 | — | 50034295 | PASSPORT - NRP | KY |
| 05 | — | 7100183390 | — | KY |