Most Relevant Information
Provider Data
| NPI Number: | 1003197583 |
| Provider Name: | SANDRA LEANNE HANDYSIDES RN, FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 20915 |
Most Important Dates
| Enumeration Date: | 08/29/2011 |
| Last Updated: | 02/12/2020 |
Provider Practice Location
2300 N STALLMAN RD
PESHAWBESTOWN
MI
496829158
Practice Location Phone/Fax
| Phone: | 2315347200 |
| Fax: |
Provider Mailing Location
10406 DEERPATH N
TRAVERSE CITY
MI
496859094
Provider Mailing Phone/Fax
| Phone: | 9099548800 |
| Fax: |