Provider Demographics
NPI:1457452443
Name:FERENCY, SANDRA LYNN (CNMT)
Entity Type:Individual
Prefix:MS
First Name:SANDRA
Middle Name:LYNN
Last Name:FERENCY
Suffix:
Gender:F
Credentials:CNMT
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:8526 220TH ST SW
Mailing Address - Street 2:
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98026-8130
Mailing Address - Country:US
Mailing Address - Phone:425-672-4741
Mailing Address - Fax:
Practice Address - Street 1:1015 8TH AVE N
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-3504
Practice Address - Country:US
Practice Address - Phone:206-287-3900
Practice Address - Fax:206-287-3905
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WART000039902471N0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471N0900XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistNuclear Medicine Technology