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Individual
MS. SANDRA S HALBRUNER
Active
Individual
MS. SANDRA S HALBRUNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN512581L
PA
363LF0000X
Family Nurse Practitioner
Primary
TP005787B
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001371383
BLUE SHIELD
PA
05
—
102974524
—
PA
Enumeration date
04/28/2006
Last updated
11/09/2023
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