Amanda L Sanford, NP | |
03920 Southland Rd, New Bremen, OH 45869-9790 | |
(419) 629-2772 | |
(419) 629-3613 |
Full Name | Amanda L Sanford |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 03920 Southland Rd, New Bremen, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427787498 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APRN.CNP.0031634 (Ohio) | Primary |
Entity Name | Mercer County Joint Township Community Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497784144 PECOS PAC ID: 8820081755 Enrollment ID: O20040406001632 |
Entity Name | M E D F Physicians Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417992710 PECOS PAC ID: 9133109903 Enrollment ID: O20040722000452 |
Mailing Address | Practice Location Address |
---|---|
Amanda L Sanford, NP 830 W Main St, Coldwater, OH 45828-1626 Ph: (419) 678-5271 | Amanda L Sanford, NP 03920 Southland Rd, New Bremen, OH 45869-9790 Ph: (419) 629-2772 |
Deanna Bruggeman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 03920 Southland Rd, New Bremen, OH 45869 Phone: 419-629-2772 | |
Derek Justice Jay, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 03920 Southland Rd, New Bremen, OH 45869 Phone: 419-629-2772 Fax: 419-629-3613 | |
Amanda Lynn Hurley, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 03920 Southland Rd, New Bremen, OH 45869 Phone: 419-629-2772 Fax: 419-629-3613 |