Sandra Jean Wardwell, WHNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP081892 Issued in ME

Practice address

12 Stillwater Ave
Bangor, ME 04401-3984

Phone

(207) 945-6588

Fax

(207) 945-2955

NPI assigned

Mar 23, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406592000000",
    "number": "1538129804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 STILLWATER AVE",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013984",
            "telephone_number": "207-945-6588",
            "fax_number": "207-945-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 STILLWATER AVE",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013984",
            "telephone_number": "207-945-6588",
            "fax_number": "207-945-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARDWELL",
        "first_name": "SANDRA",
        "middle_name": "JEAN",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2014-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "ME",
            "license": "AP081892",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ME",
            "license": "AP081892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432937499",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debora Elliott Ward, PHD
• Kelly L Ward, MA
• Kimberly M Ward
• Misty Lynne Ward
• Rachael M Wardwell, PA-C
• Natalie Ware, COTA
• Cassandra Warner, LMSW-CC
• David S. Warner, M.D.
• B. Pascha Warren, LCPC
• Joyce Dee Warren, CADC

• Nurse Practitioner in Bangor, ME
• Providers in Bangor, ME by specialty
• Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.