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

SANDRA MANCILLA, RN

Deactivated Sole Proprietor

SANDRA MANCILLA, RN is a Registered Nurse healthcare provider located in CORONA, New York. NPI 1891050571 is deactivated in the NPPES registry. Verify at CMS.

Registered Nurse · CORONA, NY

This NPI has been deactivated. The record was deactivated on August 18, 2020. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1891050571
Provider Type
Individual
Gender
Female
NPI Issued
Jul 9, 2012 (8.1095890410959 yrs)
Last Updated
Nov 20, 2025
Deactivated
Aug 18, 2020
License
6091311 (NY)
Sole Proprietor
Yes

Practice Information

Address
5930 108TH ST
APT 3F
CORONA, NY, 113684501
Browse NY providers · Browse ZIP 11368
Phone
3478587026
Primary Specialty
Registered Nurse
163W00000X

Other Registered Nurse Providers in CORONA, NY

Name Credential NPI
LOUISE LOUANGA 1811140809
PASCHALINE GINIKA OFFOR 1992939268
DELOISE ROGERS RN 1972826444
ARTHUR DOLAN RN 1952626145
CHINWE ONODU RN 1508178492
MS. DEBRA A GREENE 1912215831
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.