Individual
MICHELLE SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3960 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23452-2449
(757) 668-4648
Mailing address
304 WISDOM PATH, CHESAPEAKE, VA 23322-4435
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001295455
VA
363LP0200X
Pediatric Nurse Practitioner
Primary
0024179673
VA
Other
Enumeration date
06/03/2008
Last updated
07/28/2023
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