Individual
KEIVA SUMNER SANDLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
100 AIRPORT RD FL 5, KINSTON, NC 28501-1604
(252) 775-5920
Mailing address
2000 PERIMETER PARK DR STE 200, MORRISVILLE, NC 27560-8442
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
5007738
NC
363LA2200X
Adult Health Nurse Practitioner
Primary
5007738
NC
363LG0600X
Gerontology Nurse Practitioner
5007738
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56-1209062
—
NC
Enumeration date
07/06/2015
Last updated
06/03/2022
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