| Mrs Sandra Leanne Handysides, RN, FNP | |
|
2300 N Stallman Rd, Peshawbestown, MI 49682-9158 | |
| (231) 534-7200 | |
| Not Available |
| Full Name | Mrs Sandra Leanne Handysides |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2300 N Stallman Rd, Peshawbestown, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003197583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 20915 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 4704336431 (Michigan) | Primary |
| Entity Name | Grand Traverse Band Of Ottawa And Chippewa Indians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134281132 PECOS PAC ID: 5193792067 Enrollment ID: O20040911000198 |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20210405000855 |
| Entity Name | Total Extended Care Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699522029 PECOS PAC ID: 9133029127 Enrollment ID: O20240712000167 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Sandra Leanne Handysides, RN, FNP 10406 Deerpath N, Traverse City, MI 49685-9094 Ph: (909) 954-8800 | Mrs Sandra Leanne Handysides, RN, FNP 2300 N Stallman Rd, Peshawbestown, MI 49682-9158 Ph: (231) 534-7200 |
Emily Marie Schmitt, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2300 N Stallman Rd, Peshawbestown, MI 49682 Phone: 231-534-7200 |