SANDRA DAWN FOMENKO MSN, AGPCNP-BC, CPNP
NPI 1437435419
Nurse Practitioner - Adult Health in Hamden, CT

Active since October 22, 2011
1952 WHITNEY AVE STE 3, HAMDEN, CT 06517(203) 848-1803 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sandra Dawn Fomenko Msn, Agpcnp-bc, Cpnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANDRA DAWN FOMENKO MSN, AGPCNP-BC, CPNP (NPI 1437435419) is an individual adult health provider in Hamden, Connecticut, licensed in Connecticut (004756) and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1437435419
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSANDRA DAWN FOMENKOCredential: MSN, AGPCNP-BC, CPNP
Location Address1952 WHITNEY AVE STE 3Hamden, CT 06517-1209
Mailing Address1952 Whitney Ave Ste 3Hamden, CT 06517-1209 · (203) 848-1803
Sole ProprietorNo
Enumeration DateOctober 22, 2011
Last NPPES UpdateMarch 29, 2022
NPPES CertifiedMarch 29, 2022
NPI 1437435419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in CT · 004756
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 004756 (CT)
1952 WHITNEY AVE STE 3, Hamden, CT 06517

Other Identifiers 1

Medicaid004236346CT

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1952 WHITNEY AVE STE 3
HAMDEN, CT 06517
Nurse Practitioner (Family)
1952 WHITNEY AVE STE 3
HAMDEN, CT 06517
Nurse Practitioner
1952 WHITNEY AVE STE 3
HAMDEN, CT 06517
Nurse Practitioner (Family)
1952 WHITNEY AVE STE 3
HAMDEN, CT 06517
Nurse Practitioner (Family)
1952 WHITNEY AVE STE 3
HAMDEN, CT 06517

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sandra Fomenko's NPI number?

The NPI number for Sandra Fomenko is 1437435419. It was assigned to this individual provider in the NPPES registry on October 22, 2011.

Where is Sandra Fomenko located?

Sandra Fomenko practices at 1952 Whitney Ave Ste 3, Hamden, CT 06517. The listed phone number is (203) 848-1803.

What is Sandra Fomenko's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Sandra Fomenko was last updated on March 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.