MEDICARE: MISS SANDRA L ABBEY CRNP

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
1	363LF0000X	Family Nurse Practitioner	TP004028B	PA
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	TP004028B	PA

Other Identifiers

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

General Provider Information

NPI Number	:	1780652008
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS SANDRA L ABBEY CRNP

Provider Business Mailing Address
First Line	:	3201 SPRING RD
Second Line	:
City	:	CARLISLE
State	:	PA
Zip	:	17013-8741
Country	:	US
Telephone Number	:	717-241-2118
Fax Number	:

Provider Business Practice Location Address
First Line	:	49 BROOKWOOD AVE
Second Line	:
City	:	CARLISLE
State	:	PA
Zip	:	17013-9126
Country	:	US
Telephone Number	:	717-258-1462
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/11/2006
Last Update Date	:	09/11/2025

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