SANDRA FAYE STENNETT PAC NPI 1023084183

NPI Information

NPI: 1023084183
Provider Name: SANDRA FAYE STENNETT, PAC
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
1532 BRIDGE RD APT A
CHARLESTON, WV
ZIP 25314
Phone: (304) 541-7763
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Sandra Faye Stennett, PAC is a medical physician assistant in Charleston, WV. Sandra Faye Stennett, PAC NPI is 1023084183. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1532 BRIDGE RD APT A
CHARLESTON, WV
ZIP 25314-900
Phone: (304) 541-7763

The enumeration date for this NPI number is 2/27/2006 and was last updated on 2/17/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		PA895	KENTUCKY	No
2	363AM0700X	Physician Assistant	Medical	01204	WEST VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PA82841	MEDICARE PIN	WEST VIRGINIA
2	PA23773	MEDICARE PIN	WEST VIRGINIA
3	Q27983	MEDICARE UPIN
4	95005708	MEDICAID	KENTUCKY
5	001906149	OTHER	WEST VIRGINIA	MS BCBS
6	0783607	MEDICARE PIN	KENTUCKY
7	PA82851	MEDICARE PIN	WEST VIRGINIA
8	3810006840	MEDICAID	WEST VIRGINIA
9	PA23772	MEDICARE PIN	WEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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