Individual
SANDRA DIANE MCGINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
101 HAMPTON WAY, MONTOURSVILLE, PA 17754-9120
(570) 433-4260
Mailing address
101 HAMPTON WAY, MONTOURSVILLE, PA 17754-9120
(570) 433-4260
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN150218L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00186187
RAILROAD MEDICARE
PA
Enumeration date
10/23/2006
Last updated
07/08/2007
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