Sandra Dawn Fomenko MSN, APRN, PNP-BC

  • NPI 1437435419
According to our database, the NPI number for Sandra Dawn Fomenko MSN, APRN, PNP-BC is 1437435419 and activated since 12 years ago. Sandra Dawn Fomenko MSN, APRN, PNP-BC is an individual provider who specializes in Pediatrics, and the primary practice location is 635 Main St, Middletown, CT 06457. You can also contact Sandra Dawn Fomenko MSN, APRN, PNP-BC via telephone number is (860) 347-6971. Provider NPI information was last updated on 02/20/2012.

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Overview of Sandra Dawn Fomenko MSN, APRN, PNP-BC

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 10/22/2011
  • Last updated: 02/20/2012

Primary Scrop of Practice

  • Taxonomy Code: 363LP0200X
  • Specialty: Pediatrics
  • License Number: 004756
  • License State: CT

Provider Mailing Address

  • Address: 575 Main St Fl 2
    Attn: Credentialing Dpt
    Middletown, CT 06457
  • Phone: 860-347-6971
  • Fax:

Provider Practice Location

  • Address: 635 Main St
    Middletown, CT 06457
  • Phone: 860-347-6971
  • Fax: 860-343-7379

Scope of Practice

  • Taxonomy Code: 363LP0200X
  • Specialty: Pediatrics
  • License Number: 004756
  • License State: CT
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 004236346
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: CT
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Sandra Dawn Fomenko MSN, APRN, PNP-BC?
  • A: The npi number for Sandra Dawn Fomenko MSN, APRN, PNP-BC is 1437435419.
  • Q: What are Sandra Dawn Fomenko MSN, APRN, PNP-BC's specialties?
  • A: Sandra Dawn Fomenko MSN, APRN, PNP-BC's specialties are Pediatrics and different specialities.
  • Q: What is the medical license for Sandra Dawn Fomenko MSN, APRN, PNP-BC?
  • A: The medical license number for Sandra Dawn Fomenko MSN, APRN, PNP-BC is 004756 and issued in CT in USA.
  • Q: Where is Sandra Dawn Fomenko MSN, APRN, PNP-BC practice location?
  • A: Sandra Dawn Fomenko MSN, APRN, PNP-BC is practicing at 635 Main St, Middletown, CT 06457.
  • Q: How to contact Sandra Dawn Fomenko MSN, APRN, PNP-BC?
  • A: You can contact Sandra Dawn Fomenko MSN, APRN, PNP-BC via 860-347-6971.