Dinwiddie, Sandra Nicole

Dinwiddie, Sandra Nicole is an individual health care provider with primary practice located at 20823 N Cave Creek Rd Ste 103 , Phoenix AZ 85024-4469. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Pain Management, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Dinwiddie, Sandra Nicole can be contacted via phone (623) 439-5585.

Contact Information

Primary practice address
20823 N Cave Creek Rd Ste 103 Phoenix AZ 85024-4469
Phone: (623) 439-5585
Fax: (623) 439-7775
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pain Management 163WP0000X AP10488 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP10488 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X AP10488 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP10488 Arizona

Profile Details

NPI number 1326581547
LBN Legal business name Dinwiddie, Sandra Nicole
Credentials A-GNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2016
Last updated Sep 30th, 2020 - about 4 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 1326581547 NPPES
Arizona MEDICAID Z211463

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