Provider Demographics
NPI:1437468717
Name:SAND, LINDA SCOTT (RN)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:SCOTT
Last Name:SAND
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94 COVE RD
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11768-1814
Mailing Address - Country:US
Mailing Address - Phone:631-368-6046
Mailing Address - Fax:631-368-6046
Practice Address - Street 1:14 LINDBERG CT
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:NY
Practice Address - Zip Code:11768-2909
Practice Address - Country:US
Practice Address - Phone:631-754-6122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-04
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY217883-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse