Sanford, Michelle Ann

Sanford, Michelle Ann is an individual health care provider with primary practice located at 3719 Dauphin St 5Th Floor, Mobile AL 36608-1753. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Sanford, Michelle Ann can be contacted via phone (251) 625-6896.

Contact Information

Primary practice address
3719 Dauphin St 5Th Floor Mobile AL 36608-1753
Fax: (251) 625-6897
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 1-059045 Alabama

Profile Details

NPI number 1487076873
LBN Legal business name Sanford, Michelle Ann
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2014
Last updated Oct 27th, 2021 - about 3 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 1487076873 NPPES
Alabama MEDICAID 192617
Alabama Other 102I506859
Alabama Other P01576999

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