SANDRA JEAN WARDWELL (NPI# 1538129804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538129804 |
| Entity Type | Individual |
| Full Name | SANDRA JEAN WARDWELL |
| Credential | WHNP |
| Practice Address |
12 Stillwater Ave Bangor ME 04401-3984 |
| Practice Telephone | 2079456588 |
| Practice Fax Number | 2079452955 |
| Mailing Telephone | 2079456588 |
| Mailing Fax Number | 2079452955 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2014-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AP081892 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
AP081892 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 432937499 | 05 |
| Street Address |
12 STILLWATER AVE |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-3984 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245858638 | Saker Ghanayem | Physical Therapist | 12 Stillwater Ave, Bangor, ME 04401-3984 | 2020-07-11 |
| 1154973865 | Kristina Buck | Physical Therapist | 12 Stillwater Ave, Bangor, ME 04401-3984 | 2019-07-12 |
| 1972047470 | Elizabeth Laura Stevens | Denturist | 12 Stillwater Ave, Bangor, ME 04401-3984 | 2016-12-19 |
| 1467996330 | Gary Boudreau | Denturist | 12 Stillwater Ave, Bangor, ME 04401-3984 | 2016-12-13 |
| 1740731470 | David C Haluska Dmd Pllc | Dentist | 12 Stillwater Ave, Suite 6, Bangor, ME 04401-3984 | 2016-10-18 |
| 1912365727 | Raylene D Jernigan | Advanced Practice Midwife | 12 Stillwater Ave, Suite 1, Bangor, ME 04401-3984 | 2016-02-08 |
| 1205231651 | Paul N Smith Md, Pa | Specialist | 12 Stillwater Ave, Suite 1, Bangor, ME 04401-3984 | 2014-10-28 |
| 1932515095 | Heather Mitchell | Specialist/Technologist | 12 Stillwater Ave, Bangor, ME 04401-3984 | 2014-07-09 |
| 1679902076 | Erika Jeanne Beckwith | Physical Therapist | 12 Stillwater Ave, Bangor, ME 04401-3984 | 2013-11-06 |
| 1023367125 | David Christopher Haluska | Dentist | 12 Stillwater Ave, Ste 6, Bangor, ME 04401-3984 | 2012-09-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619590247 | Meghan Chenausky | Nurse Practitioner | Pchcenter, 1012 Union Street, Bangor, ME 04401-3060 | 2020-05-18 |
| 1649603093 | Kendra Lynn Look | Nurse Practitioner | 302 Husson Ave Ste 1, Bangor, ME 04401-3373 | 2013-08-20 |
| 1285988253 | Sabita Sigdel | Nurse Practitioner | 895 Union Street - Suite 12, Center for Family Medicine, Bangor, ME 04401 | 2012-10-30 |
| 1467515056 | Lisa Madge Grindle | Nurse Practitioner | 175 Union St., Suite C, Bangor, ME 04401 | 2006-12-18 |
| 1871698142 | Beryl Rubin | Nurse Practitioner | 1048 Union St., Ste 5, Bangor, ME 04401-0000 | 2006-09-13 |
| 1376569962 | Maureen M Jarrett | Nurse Practitioner | 36 Penn Plaza, Bangor, ME 04401-3620 | 2006-07-15 |
| 1235180209 | Chrystal A Adams | Nurse Practitioner | 34 Summer Street, Bangor, ME 04401 | 2006-05-15 |
| 1861451478 | Joye M Jewell-hill | Nurse Practitioner | 268 Stillwater Ave, Bangor, ME 04401 | 2006-03-22 |
| 1194721548 | Lisa Carroll | Nurse Practitioner | 992 Union St, Bangor, ME 04401-3057 | 2005-06-21 |
| 1386254886 | Timothy Craig Prince | Nurse Practitioner | 86 Davis Rd, Bangor, ME 04401-2311 | 2020-08-09 |
| Find all providers in BANGOR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.