Individual
INGRID SANDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
181 DANIEL RD, FOREST CITY, NC 28043-7151
(828) 286-9036
(828) 286-1079
Mailing address
PO BOX 602148, CHARLOTTE, NC 28260-2148
(828) 286-9036
(828) 286-1079
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
230135
NC
363L00000X
Nurse Practitioner
F0713305
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609217793
—
NC
05
—
NP2479
—
SC
Enumeration date
07/17/2013
Last updated
01/13/2014
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