Individual
MR. DAVID SCOT SANDAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
7200 E INDIANA ST, EVANSVILLE, IN 47715-2753
(812) 476-7200
(812) 471-4514
Mailing address
PO BOX 1230, EVANSVILLE, IN 47706-1230
(812) 450-6815
(812) 450-6822
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71009728A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
3013592
KY
Other
Enumeration date
07/05/2019
Last updated
01/31/2020
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