Individual
JOSHUA THOMAS SANDIFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGPCNP-BC
Contact information
Practice address
9030 CLINE AVE STE A, HIGHLAND, IN 46322-2204
(219) 750-9497
Mailing address
3676 SAGEBROOK ST, PORTAGE, IN 46368-5483
(219) 465-8224
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
28195432A
IN
Other
Enumeration date
05/22/2020
Last updated
05/22/2020
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