Rebecca Lynn Sandham

Individual provider Active NPI Ambulatory Women's Health Care Registered Nurse · Woodlawn, MD

NPI 1538245246 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1538245246
Entity type
Individual (NPI type 1)
Primary specialty
Ambulatory Women's Health Care Registered Nurse 163WW0101X
License
R165590 (MD)
Practice address
1811 Woodlawn Dr
Woodlawn, MD 21207-4008
Phone
(410) 887-6803
NPI assigned
Oct 27, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
R165590MDMDAmbulatory Women's Health Care Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Women's Health Care Registered Nurse 163WW0101X R165590 MD Yes

Addresses

Primary practice location

1811 Woodlawn Dr
Woodlawn, MD 21207-4008

Mailing address

8632 Oakleigh Rd
Parkville, MD 21234-3827

Other providers in Woodlawn, MD

All providers in Woodlawn, MD · Ambulatory Women's Health Care Registered Nurse in Maryland

Sources for this page

Verify at the official NPI Registry.