Individual
SANDRA DEE PEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
1405 S COUNTY TRL STE 510, EAST GREENWICH, RI 02818-5097
(401) 736-4570
(401) 921-6931
Mailing address
455 TOLL GATE RD, WARWICK, RI 02886-2759
(401) 273-0641
(401) 273-2919
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
22463
MT
363LF0000X
Family Nurse Practitioner
Primary
APRN02152
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316958127
—
MT
Enumeration date
08/10/2006
Last updated
12/30/2020
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