Individual
SANDRA J. HANLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
9880 ANGIES WAY, SUITE 230, LOUISVILLE, KY 40241-2851
(502) 629-4263
(502) 629-4282
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 969-6552
(502) 969-3799
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1057235
KY
363L00000X
Nurse Practitioner
Primary
3005025
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000626840 NHC
ANTHEM
KY
01
—
105938
SIHO
KY
05
—
200965990
—
IN
01
—
3736658000
PASSPORT ADVANTAGE
KY
01
—
4040339
CIGNA
KY
01
—
50025712
PASSPORT
KY
Enumeration date
11/13/2006
Last updated
03/20/2019
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