Individual
SANDRA B COLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
40 GLENRIDGE DR, AUGUSTA, ME 04330-6606
(207) 622-6226
Mailing address
40 GLENRIDGE DR, AUGUSTA, ME 04330-6606
(207) 622-6226
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R039267
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
312560099
—
ME
Enumeration date
02/24/2006
Last updated
10/16/2012
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