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Individual
MRS. SANDY M ANDERSON
Active
Individual
MRS. SANDY M ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
RN.254376-C0A1
OH
363LC1500X
Community Health Nurse Practitioner
RN.254376-C0A1
OH
363LF0000X
Family Nurse Practitioner
Primary
RN.254376-COA1
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000577058
BCBS OHIO
OH
05
—
2388901
—
OH
01
—
9939476
AETNA
OH
Enumeration date
09/28/2006
Last updated
03/17/2024
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