Individual
NATHANIEL M SANDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
91 CAMPUS AVE, LEWISTON, ME 04240-6030
(207) 777-8120
(207) 777-8984
Mailing address
C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT, PO BOX 7291, LEWISTON, ME 04243-7291
(207) 777-8950
(207) 777-8800
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP211441
ME
Other
Enumeration date
12/01/2021
Last updated
12/14/2021
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