Sandra Anne Ely, APRN is a
Nurse Practitioner based in Deep River, Connecticut. Sandra Anne Ely is licensed to practice in Connecticut (license number 17874) and her current practice location is
183 Bushy Hill Rd, Deep River, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(860) 581-3404.
NPI number for Sandra Anne Ely is 1245146323 and her current mailing address is 183 Bushy Hill Rd, Deep River, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245146323.
Provider's Profile
| Full Name | Sandra Anne Ely |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Location | 183 Bushy Hill Rd, Deep River, Connecticut |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1245146323
- Provider Enumeration Date: 08/20/2026
- Last Update Date: 08/20/2026
Medical Identifiers
Medical identifiers for Sandra Anne Ely such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1245146323 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363L00000X | Nurse Practitioner | 17874 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sandra Anne Ely is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Sandra Anne Ely, APRN 183 Bushy Hill Rd, Deep River, CT 06417-1522 Ph: Not Available | Sandra Anne Ely, APRN 183 Bushy Hill Rd, Deep River, CT 06417-1522 Ph: (860) 581-3404 |
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