MS. SANDRA C. PHOENIX FNP NPI 1003858317

NPI Information

NPI: 1003858317
Provider Name: MS. SANDRA C. PHOENIX, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
50 E MAIN ST
HARRINGTON, ME
ZIP 04643
Phone: (207) 483-4502
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MS. Sandra C. Phoenix, FNP is a family nurse practitioner in Harrington, ME. MS. Sandra C. Phoenix, FNP NPI is 1003858317. 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:

50 E MAIN ST
HARRINGTON, ME
ZIP 04643-043
Phone: (207) 483-4502
Fax: (207) 483-2525

The enumeration date for this NPI number is 6/12/2006 and was last updated on 2/22/2016.

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	R020333	MAINE	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
1	102380303	MEDICAID	MAINE
2	B86451	MEDICARE UPIN
3	285720099	MEDICAID	MAINE
4	102380204	MEDICAID	MAINE

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: 5/5/2024

NPI Synchronization or Removal

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