Individual
HEATHER SANDFORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 N BROAD ST, PHILADELPHIA, PA 19122-3319
(267) 456-5553
Mailing address
9004 AYRDALE CRES, PHILADELPHIA, PA 19128-1047
(267) 993-0988
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP030021
PA
Other
Enumeration date
07/16/2024
Last updated
04/02/2025
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