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NPI Code Detail

MEDICARE: SANDI ANNE CORONADO

MEDICARE:   SANDI ANNE CORONADO
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
1164X00000XLicensed Vocational Nurse183277CA

General Provider Information

NPI Number : 1730642042
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDI ANNE CORONADO
Provider Business Mailing Address
First Line : 3127 COUNTY ROAD X
Second Line :
City : GLENN
State : CA
Zip : 95943-9667
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3217 COHASSET RD
Second Line :
City : CHICO
State : CA
Zip : 95973-5404
Country : US
Telephone Number : 530-891-2810
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2019
Last Update Date : 05/26/2026

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Directions to “ SANDI ANNE CORONADO ” Practice Location

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