Individual
MRS. KATHY SANDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
500 NORTH INDIANA AVENUE, WINSLOW, AZ 86047
(928) 289-4646
(928) 737-6080
Mailing address
500 NORTH INDIANA AVENUE, WINSLOW, AZ 86047
(928) 289-4646
(928) 737-6080
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN070922
AZ
163WP2201X
Ambulatory Care Registered Nurse
Primary
RN070922
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020529
—
AZ
Enumeration date
05/18/2010
Last updated
03/18/2015
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