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Individual

MS. SANDRA L ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP-BC

Contact information

Practice address
1168 E CUTLAR XING, LELAND, NC 28451-6484
(910) 332-3800
(910) 251-0421
Mailing address
11350 MCCORMICK RD, EXECUTIVE PLAZA 1, SUITE 501, HUNT VALLEY, MD 21031
(410) 329-1071
(410) 329-1054

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5012667
NC
363LA2200X
Adult Health Nurse Practitioner
5336
CT

Other

Enumeration date
04/18/2013
Last updated
01/09/2020
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