Healthcare Provider Details

I. General information

NPI: 1851321970
Provider Name (Legal Business Name): SANDRA D. CADWELL ANP, BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 06/09/2025
Certification Date: 06/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 WINSHIP ST
BATH ME
04530-2843
US

IV. Provider business mailing address

240 INDIAN RIVER RD STE C7
ORANGE CT
06477-3691
US

V. Phone/Fax

Practice location:
  • Phone: 203-497-3861
  • Fax: 203-718-2381
Mailing address:
  • Phone: 203-497-3861
  • Fax: 203-718-2381

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberR027630
License Number StateME
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberCNP81098
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: