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NPI Code Detail

MEDICARE: MS. MARY N SANDERS DNP, APRN-C

MEDICARE:  MS. MARY N SANDERS  DNP, APRN-C
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
1363LG0600XGerontology Nurse Practitioner10258CT
2363LF0000XFamily Nurse Practitioner10258CT

General Provider Information

NPI Number : 1912664541
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARY N SANDERS DNP, APRN-C
Provider Business Mailing Address
First Line : 20 COLLINS ST
Second Line :
City : NEW BRITAIN
State : CT
Zip : 06051-3606
Country : US
Telephone Number : 860-938-6060
Fax Number :
Provider Business Practice Location Address
First Line : 85 BARNES RD
Second Line :
City : WALLINGFORD
State : CT
Zip : 06492-1832
Country : US
Telephone Number : 203-626-5550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2021
Last Update Date : 01/13/2026

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Directions to “ MS. MARY N SANDERS DNP, APRN-C” Practice Location

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