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Organization

SANDRA DINWIDDIE

Active
Other names
NP Practice
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
20823 N CAVE CREEK RD STE 103, PHOENIX, AZ 85024-4469
(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
06/01/2026
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