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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANNON N SANDSTROM, NP

Active

SHANNON N SANDSTROM, NP is a Adult Health Nurse Practitioner healthcare provider located in RANDOLPH, Wisconsin. NPI 1194778324 is currently active in the NPPES registry. Verify at CMS.

Adult Health Nurse Practitioner · RANDOLPH, WI

Registration Details

NPI Number
1194778324
Provider Type
Individual
Gender
Female
NPI Issued
May 18, 2006 (20.286184554911 yrs)
Last Updated
Jul 8, 2007
License
2722 (WI)

Practice Information

Address
137 CAMBRIA ST
RANDOLPH, WI, 53956
Browse WI providers · Browse ZIP 53956
Phone
9203265303
Primary Specialty
Adult Health Nurse Practitioner
363LA2200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.