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NPI Code Detail

MEDICARE: VIRGINIA L SAND

MEDICARE: VIRGINIA L SAND
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
1367500000XCertified Registered Nurse AnesthetistRN254210OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000385794OTHERANTHEM
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710930912
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIRGINIA L SAND
Provider Business Mailing Address
First Line : 3731 GOOSE LN
Second Line :
City : GRANVILLE
State : OH
Zip : 43023-9668
Country : US
Telephone Number : 740-587-3404
Fax Number :
Provider Business Practice Location Address
First Line : 6520 W CAMPUS OVAL
Second Line :
City : NEW ALBANY
State : OH
Zip : 43054-8726
Country : US
Telephone Number : 614-413-2233
Fax Number : 614-413-2234
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2006
Last Update Date : 07/08/2007

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Directions to “ VIRGINIA L SAND ” Practice Location

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