Individual
EILEEN SANDIFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
VP003256D
PA
363LP0200X
Pediatric Nurse Practitioner
Primary
VP003256D
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VP003256D
MEDICAL LICENSE
PA
Enumeration date
09/21/2005
Last updated
08/15/2025
Update your record
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