Individual
CHRISTINE SANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 667-3985
(910) 667-6495
Mailing address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 667-3985
(910) 667-6495
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
300134
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7004520
—
NC
Enumeration date
06/02/2005
Last updated
10/31/2012
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