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Individual

DIANA P SANDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
22 BRAMHALL ST, PORTLAND, ME 04102
(207) 662-2273
(207) 662-6324
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-2273
(207) 662-6324

Taxonomy

Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
170526
AZ
363L00000X
Nurse Practitioner
COANP03048
OH
363LN0000X
Neonatal Nurse Practitioner
170526
AZ
363LN0000X
Neonatal Nurse Practitioner
Primary
CNP191012
ME
363LN0005X
Critical Care Neonatal Nurse Practitioner
AP4462
AZ
363LN0005X
Critical Care Neonatal Nurse Practitioner
NCCSAN104280215
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CNP191012
LICENSE
ME
Enumeration date
04/23/2008
Last updated
09/11/2019
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