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MS. MICHELLE MARIE SANDINE APN NPI 1457540379


NPI Information

NPI: 1457540379
Provider Name: MS. MICHELLE MARIE SANDINE, APN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: OSF MULTI-SPECIALTY GROUP

PECOS Registration: Yes

Address:
535 ROXBURY RD
ROCKFORD, IL
ZIP 61107
Phone: (815) 387-1717
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MS. Michelle Marie Sandine, APN is a family nurse practitioner in Rockford, IL with 18 years of experience. MS. Michelle Marie Sandine, APN NPI is 1457540379. 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:

535 ROXBURY RD
ROCKFORD, IL
ZIP 61107-076
Phone: (815) 387-1717

The NPI 1457540379 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/16/2007 and was last updated on 9/22/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamily209.006739041.248938ILLINOISYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.