Individual
SANDRA DEATON MAHANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, RN, CCNS
Contact information
Practice address
1215 LEE ST FL 6, CHARLOTTESVILLE, VA 22908-0816
(434) 924-5754
Mailing address
1215 LEE ST FL 6, CHARLOTTESVILLE, VA 22908-0816
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
0015001027
VA
364S00000X
Clinical Nurse Specialist
Primary
0024181911
VA
Other
Enumeration date
04/14/2019
Last updated
08/02/2021
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