Provider Demographics
NPI:1952527954
Name:HANDLEY, SANDRA MARTIN (FNP)
Entity Type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:MARTIN
Last Name:HANDLEY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
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Mailing Address - Street 1:4900 CENTRAL STREET
Mailing Address - Street 2:# 302
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64112-3705
Mailing Address - Country:US
Mailing Address - Phone:816-361-9207
Mailing Address - Fax:816-235-6565
Practice Address - Street 1:4825 TROOST AVE
Practice Address - Street 2:SUITE 115
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64110-2030
Practice Address - Country:US
Practice Address - Phone:816-235-6133
Practice Address - Fax:816-235-6565
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO055215363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily