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NPI Code Detail

MEDICARE: COLLEEN SANDERS FNP-BC

MEDICARE:   COLLEEN  SANDERS  FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner0024167833VA

General Provider Information

NPI Number : 1306005426
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLLEEN SANDERS FNP-BC
Provider Business Mailing Address
First Line : 15825 SHADY GROVE RD
Second Line : 140
City : ROCKVILLE
State : MD
Zip : 20850-4008
Country : US
Telephone Number : 301-869-9776
Fax Number :
Provider Business Practice Location Address
First Line : 2639 CONNECTICUT AVE NW
Second Line : C-100
City : WASHINGTON
State : DC
Zip : 20008-1537
Country : US
Telephone Number : 301-869-9776
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2008
Last Update Date : 09/21/2012

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Directions to “ COLLEEN SANDERS FNP-BC” Practice Location

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