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NPI Code Detail

MEDICARE: MS. MARIANNE ELIZABETH SAND APRN

MEDICARE:  MS. MARIANNE ELIZABETH SAND  APRN
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
1363LA2200XAdult Health Nurse Practitioner0032615OH

General Provider Information

NPI Number : 1386350858
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARIANNE ELIZABETH SAND APRN
Provider Business Mailing Address
First Line : 3265 LINWOOD AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45226-1268
Country : US
Telephone Number : 513-658-9188
Fax Number :
Provider Business Practice Location Address
First Line : 6941 KENWOOD RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45243-2327
Country : US
Telephone Number : 866-200-1899
Fax Number : 513-271-8033
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2023
Last Update Date : 01/26/2023

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