Eaddy, Sandra J

Eaddy, Sandra J is an individual health care provider with primary practice located at 1850 Town Center Parkway Reston Hospital Center, Reston VA 20190. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Eaddy, Sandra J can be contacted via phone (703) 471-0919.

Contact Information

Primary practice address
1850 Town Center Parkway Reston Hospital Center Reston VA 20190
Phone: (703) 471-0919
Fax: (703) 742-9081
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 0024000023 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 0024000023 Virginia

Profile Details

NPI number 1851379671
LBN Legal business name Eaddy, Sandra J
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Apr 12th, 2019 - about 5 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 1851379671 NPPES
Virginia MEDICAID 010123151

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