SANDRA LEE MCCORMACK APRN NPI 1841276565

NPI Information

NPI: 1841276565
Provider Name: SANDRA LEE MCCORMACK, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
100 GRIFFIN RD
SUITE A
PORTSMOUTH, NH
ZIP 03801
Phone: (603) 436-7897
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Sandra Lee Mccormack, APRN is a family nurse practitioner in Portsmouth, NH. Sandra Lee Mccormack, APRN NPI is 1841276565. 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:

100 GRIFFIN RD
SUITE A
PORTSMOUTH, NH
ZIP 03801-113
Phone: (603) 436-7897
Fax: (603) 433-1985

The enumeration date for this NPI number is 12/15/2005 and was last updated on 7/2/2013.

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	363LF0000X	Nurse Practitioner	Family	02004921	NEW HAMPSHIRE	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	3083632	MEDICAID	NEW HAMPSHIRE
2	30346941	MEDICAID	NEW HAMPSHIRE
3	P01011563	OTHER	NEW HAMPSHIRE	RAILROAD MEDICARE
4	NP123102	MEDICARE PIN	NEW HAMPSHIRE

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: 4/28/2024

NPI Synchronization or Removal

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