Provider Demographics
NPI:1083292270
Name:DENNY, SANDRA LYN (RN)
Entity Type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:LYN
Last Name:DENNY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:SANDRA
Other - Middle Name:LYN
Other - Last Name:HYLL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:256 WATRUS DR
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27527-4266
Mailing Address - Country:US
Mailing Address - Phone:512-771-2915
Mailing Address - Fax:
Practice Address - Street 1:256 WATRUS DR
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27527-4266
Practice Address - Country:US
Practice Address - Phone:512-771-2915
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-30
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC312223163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse