Individual
MRS. SANDRA LEANNE HANDYSIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, FNP
Contact information
Practice address
2300 N STALLMAN RD, PESHAWBESTOWN, MI 49682-9158
(231) 534-7200
Mailing address
10406 DEERPATH N, TRAVERSE CITY, MI 49685-9094
(909) 954-8800
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
20915
CA
363LF0000X
Family Nurse Practitioner
Primary
4704336431
MI
Other
Enumeration date
08/29/2011
Last updated
02/12/2020
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