Carolynn Anne Desandre in Blue Ridge - Family
Carolynn Anne Desandre - NPI 1780703306
Carolynn Anne Desandre is a Family in Blue Ridge, Georgia. Carolynn Anne Desandre practices all healthcare services and medical treatments related to Family. The NPI Number for Carolynn Anne Desandre is 1780703306. The last update date is 2017-05-30.
Carolynn Anne Desandre's current location address is 165 Blue Ridge Overlook, Blue Ridge, Georgia. You can contact this provider via phone number 7069465600 and fax number 7063747628. The mailing address for Carolynn Anne Desandre is 165 Blue Ridge Overlook, Blue Ridge, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carolynn Anne Desandre |
|---|---|
| Address | 165 Blue Ridge Overlook, Blue Ridge, Georgia |
| Phone Number | 7069465600 |
| Fax Number | 7063747628 |
| Sole Proprietor | N |
| Credentials | PHD, CMN, |
NPI Number Detail
| NPI Number | 1780703306 |
|---|---|
| Provider Enumeration Date | 2007-03-28 |
| Last Updated Date | 2017-05-30 |
Provider Mailing Address Detail
| Address | 165 Blue Ridge Overlook |
|---|---|
| City | Blue Ridge |
| State | Georgia (GA) |
| Post Code | 305134431 |
| Phone Number | 7069465600 |
| Fax Number | 7063747628 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | RN113863 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 003133660B | GA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Carolynn Anne Desandre by the Centers for Medicare & Medicaid Services (CMS)?
The Carolynn Anne Desandre has been assigned the NPI (National Provider Identifier) 1780703306. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Carolynn Anne Desandre?
The Carolynn Anne Desandre is situated at 165 Blue Ridge Overlook, in the city of Blue Ridge, state of GA, with the zip code 305134431.
What is the Carolynn Anne Desandre's area of specialization and corresponding taxonomy classification?
The Carolynn Anne Desandre's specialty field is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1780703306 to Carolynn Anne Desandre?
The Centers for Medicare & Medicaid Services originally issued the 1780703306 to Carolynn Anne Desandre on 2007-03-28.
As of what date was the information pertaining to Carolynn Anne Desandre, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Carolynn Anne Desandre, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-05-30.