Individual
MS. SANDRA C. PHOENIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
50 E MAIN ST, HARRINGTON, ME 04643-3043
(207) 483-4502
(207) 483-2525
Mailing address
50 E MAIN ST, HARRINGTON, ME 04643-3043
(207) 483-4502
(207) 483-2525
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R020333
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102380204
—
ME
05
—
102380303
—
ME
05
—
285720099
—
ME
Enumeration date
06/12/2006
Last updated
02/22/2016
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