Shannon N Sandstrom in Fond Du Lac - Adult Health
Shannon N Sandstrom - NPI 1194778324
Shannon N Sandstrom is a Adult Health in Fond Du Lac, Wisconsin. Shannon N Sandstrom practices all healthcare services and medical treatments related to Adult Health. The NPI Number for Shannon N Sandstrom is 1194778324. The last update date is 2007-07-08.
Shannon N Sandstrom's current location address is 420 E Division St, Fond Du Lac, Wisconsin. You can contact this provider via phone number 9209268340. The mailing address for Shannon N Sandstrom is 420 E Division St, Fond Du Lac, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon N Sandstrom |
|---|---|
| Address | 420 E Division St, Fond Du Lac, Wisconsin |
| Phone Number | 9209268340 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1194778324 |
|---|---|
| Provider Enumeration Date | 2006-05-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 420 E Division St |
|---|---|
| City | Fond Du Lac |
| State | Wisconsin (WI) |
| Post Code | 549354560 |
| Phone Number | 9209268340 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adult Health |
|---|---|
| Taxonomy | 363La2200X |
| Licence No | 2722 |
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Definition: An advanced practice registered nurse expert in providing primary and specialty healthcare services to adult patients. |
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What is the unique 10-digit identification code issued to Shannon N Sandstrom by the Centers for Medicare & Medicaid Services?
The Shannon N Sandstrom has been assigned the NPI (National Provider Identifier) 1194778324 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Shannon N Sandstrom located?
The Shannon N Sandstrom is located at 420 E Division St, Fond Du Lac, WI 549354560.
What is Shannon N Sandstrom's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Shannon N Sandstrom is Adult Health, and the taxonomy code that classifies this field of practice is 363La2200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1194778324 to Shannon N Sandstrom?
The Shannon N Sandstrom received its 1194778324 assignment from the Centers for Medicare & Medicaid Services on 2006-05-18.
As of what date was the information regarding Shannon N Sandstrom, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Shannon N Sandstrom, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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