Individual
MR. JARED MICHAEL SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNPC-AG
Contact information
Practice address
300 BRETZ CT STE 100, NEWPORT, PA 17074-8615
(717) 567-3174
(717) 703-0018
Mailing address
300 BRETZ CT STE 100, NEWPORT, PA 17074-8615
(717) 567-3174
(717) 703-0018
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
SP023431
PA
363LC0200X
Critical Care Medicine Nurse Practitioner
2021005462
MO
363LC0200X
Critical Care Medicine Nurse Practitioner
SP023431
PA
363LG0600X
Gerontology Nurse Practitioner
Primary
SP023431
PA
Other
Enumeration date
01/15/2021
Last updated
04/06/2023
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