Provider Demographics
NPI:1730236878
Name:THOMAIER, SANDRA A (NP, CNS)
Entity type:Individual
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First Name:SANDRA
Middle Name:A
Last Name:THOMAIER
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Gender:F
Credentials:NP, CNS
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Mailing Address - Street 1:38 LUCY FISKE RD
Mailing Address - Street 2:
Mailing Address - City:SHELBURNE FALLS
Mailing Address - State:MA
Mailing Address - Zip Code:01370-9735
Mailing Address - Country:US
Mailing Address - Phone:413-625-9482
Mailing Address - Fax:
Practice Address - Street 1:25 BANK ROW ST STE 2S
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:MA
Practice Address - Zip Code:01301-3598
Practice Address - Country:US
Practice Address - Phone:413-773-9505
Practice Address - Fax:413-773-9595
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2012-04-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA130583363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA130583OtherRN LICENSE
MA130583OtherRN LICENSE