Provider Demographics
NPI:1639305279
Name:SANDS, LINDA JOY (RN / BSN)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:JOY
Last Name:SANDS
Suffix:
Gender:F
Credentials:RN / BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3618 WEST HILLS OF GOLD DRIVE
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85745-9754
Mailing Address - Country:US
Mailing Address - Phone:520-762-4020
Mailing Address - Fax:520-647-9253
Practice Address - Street 1:3681 W HILLS OF GOLD DR
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85745-9754
Practice Address - Country:US
Practice Address - Phone:520-762-4020
Practice Address - Fax:520-647-9253
Is Sole Proprietor?:No
Enumeration Date:2009-06-10
Last Update Date:2009-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN 148482171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator