Provider Demographics
NPI:1437372448
Name:SANDS, BARBARA D (RN)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:D
Last Name:SANDS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:754 ANNAPOLIS RD
Mailing Address - Street 2:
Mailing Address - City:GAMBRILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21054-1307
Mailing Address - Country:US
Mailing Address - Phone:410-923-3589
Mailing Address - Fax:
Practice Address - Street 1:3 HARRY TRUMAN PARKWAY
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-1307
Practice Address - Country:US
Practice Address - Phone:410-222-6180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2013-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR082522163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse