Sandra Jacqueline Landivar
Sandra Jacqueline Landivar is a Nurse Practitioner in Stamford, Connecticut. Qualified in 2020, 6 years ago. Practices with Stamford Health Medical Group Inc, a 432-clinician group and accepts Medicare assignment. Licensed in Connecticut.
- Years since qualifying
- 6
- Licensed in
- CT
- In the registry since
- 2020
Practice location Address checks out
170 Washington BlvdStamford, CT 06902-8904
Phone: (203) 276-2472
Fax: (203) 276-4594
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Health Nurse Practitioner (primary) | Taxonomy 363LA2200X · Licence 10436 (CT) |
|---|
Record details
| NPI number | 1881298156 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 26, 2020 |
| Last updated in NPPES | June 28, 2024 |
| Certification date | June 19, 2024 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Stamford Health Medical Group Inc — 432 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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Patricia Ann Garst, APRN
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