Organization
SANDRA DINWIDDIE NP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA NICOLE DINWIDDIE (OWNER)
(623) 439-5585
Entity
Organization
Contact information
Practice address
20823 N CAVE CREEK RD STE 103, PHOENIX, AZ 85024-4469
(623) 439-5585
(623) 439-7775
Mailing address
3120 W CAREFREE HWY STE 1, PHOENIX, AZ 85086-3202
(623) 439-5585
Taxonomy
Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
—
—
363L00000X
Nurse Practitioner
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Enumeration date
08/13/2020
Last updated
10/09/2020
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