Provider Demographics
NPI:1477995348
Name:SANDE, CHRISTINA M (FNP)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:M
Last Name:SANDE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:601 ELMWOOD AVE BOX MED
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642-0001
Mailing Address - Country:US
Mailing Address - Phone:585-784-9894
Mailing Address - Fax:585-427-8718
Practice Address - Street 1:125 LATTIMORE RD STE G-110
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-4159
Practice Address - Country:US
Practice Address - Phone:585-442-0150
Practice Address - Fax:585-271-8704
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-22
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY337974363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily