Individual
MRS. SANDRA A BARNOSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
263 FARMINGTON AVE, MC1705, FARMINGTON, CT 06030-0001
(860) 679-2223
(860) 679-1233
Mailing address
1007 WOODBURY RD, WATERTOWN, CT 06795-1760
(860) 679-2223
(860) 679-1233
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
001732
CT
363LP2300X
Primary Care Nurse Practitioner
001732
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004225589
—
CT
01
—
D400017969
MEDICARE PTAN FOR UMG
CT
Enumeration date
07/19/2005
Last updated
09/26/2022
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