Sandra K McCubbrey, FNP
Individual provider Active NPI Family Nurse Practitioner · Alpena, MI
NPI 1710154596 · NPPES record last updated May 12, 2008
Key facts
- NPI
- 1710154596
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4704123876 (MI)
- Practice address
- 211 Long Rapids Rd
Alpena, MI 49707-1315 - Phone
- (989) 354-2142
- Fax
- (989) 354-6166
- NPI assigned
- May 12, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704123876 | MI | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704123876 | MI | Yes |
Addresses
Primary practice location
211 Long Rapids Rd
Alpena, MI 49707-1315
Mailing address
211 Long Rapids Rd
Alpena, MI 49707-1315
Phone (989) 354-2142
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4704123876 | Other | MI | LICENSE |
Other providers in Alpena, MI
- Kristalyn J Mauch
- Daniel L Maxwell
- Mitchell Gregory May
- Kirk C McAnsh
- Conner William McCoy
- Dawn Renee McDonald
- Michele Hetrick McGuire
- Shawn Wesley McKenney
- Ashley McKervey
- Jon B McLain
All providers in Alpena, MI · Family Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.