Colt, Sandra B

Colt, Sandra B is an individual health care provider with primary practice located at 40 Glenridge Dr , Augusta ME 04330-6606. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Colt, Sandra B can be contacted via phone (207) 622-6226.

Contact Information

Primary practice address
40 Glenridge Dr Augusta ME 04330-6606
Phone: (207) 622-6226
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R039267 Maine

Profile Details

NPI number 1669448106
LBN Legal business name Colt, Sandra B
Credentials Gerontological Nurse Practitioner (GNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Oct 16th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669448106 NPPES
Maine MEDICAID 312560099

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