Wardwell, Sandra Jean

Wardwell, Sandra Jean is an individual health care provider with primary practice located at 12 Stillwater Ave , Bangor ME 04401-3984. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Wardwell, Sandra Jean can be contacted via phone (207) 945-6588.

Contact Information

Primary practice address
12 Stillwater Ave Bangor ME 04401-3984
Phone: (207) 945-6588
Fax: (207) 945-2955
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X AP081892 Maine
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP081892 Maine

Profile Details

NPI number 1538129804
LBN Legal business name Wardwell, Sandra Jean
Credentials Women's Health Nurse Practitioner (WHNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Jul 29th, 2014 - about 10 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 1538129804 NPPES
Maine MEDICAID 432937499

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