MRS. SANDRA MARIE MOONEY NPI 1710977699

NPI Information

NPI: 1710977699
Provider Name: MRS. SANDRA MARIE MOONEY
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

Address:
11065 LITTLE PATUXENT PKWY
COLUMBIA, MD
ZIP 21044
Phone: (410) 730-5700
Get Directions

MRS. Sandra Marie Mooney is a women's health nurse practitioner in Columbia, MD. MRS. Sandra Marie Mooney NPI is 1710977699. 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:

11065 LITTLE PATUXENT PKWY
COLUMBIA, MD
ZIP 21044-998
Phone: (410) 730-5700
Fax: (410) 964-3231

The enumeration date for this NPI number is 10/24/2005 and was last updated on 7/8/2007.

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	363LW0102X	Nurse Practitioner	Women's Health	R03707	MARYLAND	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	R030707	OTHER	MARYLAND	RN

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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