Healthcare Provider Details

I. General information

NPI: 1780652008
Provider Name (Legal Business Name): SANDRA L ABBEY CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/11/2006
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

49 BROOKWOOD AVE
CARLISLE PA
17013-9126
US

IV. Provider business mailing address

3201 SPRING RD
CARLISLE PA
17013-8741
US

V. Phone/Fax

Practice location:
  • Phone: 717-258-1462
  • Fax:
Mailing address:
  • Phone: 717-241-2118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberG194404
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberF408512
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberTP004028B
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: