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NPI Code Detail

MEDICARE: NICOLE L SANDIFER APN

MEDICARE: NICOLE L SANDIFER APN
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
1363LX0001XObstetrics & Gynecology Nurse PractitionerAPN 12020TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164465522
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE L SANDIFER APN
Provider Business Mailing Address
First Line : 1101 WILSON BLVD FL 6
Second Line :
City : ARLINGTON
State : VA
Zip : 22209-2281
Country : US
Telephone Number : 888-731-8994
Fax Number :
Provider Business Practice Location Address
First Line : 1101 WILSON BLVD FL 6
Second Line :
City : ARLINGTON
State : VA
Zip : 22209-2281
Country : US
Telephone Number : 888-731-8994
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2006
Last Update Date : 06/23/2025

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Directions to “ NICOLE L SANDIFER APN” Practice Location

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