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NPI Code Detail

MEDICARE: MS. REBECCA LYNN SANDHAM

MEDICARE:  MS. REBECCA LYNN SANDHAM
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
1163WW0101XAmbulatory Women's Health Care Registered NurseR165590MD

General Provider Information

NPI Number : 1538245246
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. REBECCA LYNN SANDHAM
Provider Business Mailing Address
First Line : 8632 OAKLEIGH RD
Second Line :
City : PARKVILLE
State : MD
Zip : 21234-3827
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1811 WOODLAWN DR
Second Line :
City : WOODLAWN
State : MD
Zip : 21207-4008
Country : US
Telephone Number : 410-887-6803
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2006
Last Update Date : 07/08/2007

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Directions to “ MS. REBECCA LYNN SANDHAM ” Practice Location

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