MS. MARY E SANDEEN CPNP
NPI 1639193881
Nurse Practitioner - Pediatrics in Prescott, AZ

Active since July 27, 2006
1003 WILLOW CREEK RD, PRESCOTT, AZ 86301(928) 771-5662(928) 771-5249 Get Directions Write a Review

NPPES record last updated: February 3, 2012. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Ms. Mary E Sandeen Cpnp NPPES

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

MS. MARY E SANDEEN CPNP (NPI 1639193881) is an individual pediatrics provider in Prescott, Arizona, licensed in Arizona (RN104425) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1639193881
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMS. MARY E SANDEENCredential: CPNP
Location Address1003 WILLOW CREEK RDPrescott, AZ 86301-1641
Mailing Address1003 Willow Creek RdPrescott, AZ 86301-1641 · (928) 771-5662 · Fax (928) 771-5249
Fax(928) 771-5249
Sole ProprietorNo
Enumeration DateJuly 27, 2006
Last NPPES UpdateFebruary 3, 2012
✔ NPI 1639193881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in AZ · RN104425
1003 WILLOW CREEK RD, Prescott, AZ 86301

Other Identifiers 1

Medicaid468373AZ

Accepted Insurance

Other Providers at the Same Location NPPES 20

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

Anesthesiology
1003 WILLOW CREEK RD
PRESCOTT, AZ 86301
Nurse Practitioner
1003 WILLOW CREEK RD
PRESCOTT, AZ 86301
Internal Medicine (Critical Care Medicine)
1003 WILLOW CREEK RD
PRESCOTT, AZ 86301
Emergency Medicine (Emergency Medical Services)
1003 WILLOW CREEK RD
PRESCOTT, AZ 86301
Internal Medicine (Cardiovascular Disease)
1003 WILLOW CREEK RD
PRESCOTT, AZ 86301
Hospitalist
1003 WILLOW CREEK RD
PRESCOTT, AZ 86301
Dietitian, Registered
1003 WILLOW CREEK RD
PRESCOTT, AZ 86301
Hospitalist
1003 WILLOW CREEK RD
PRESCOTT, AZ 86301

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 Mary Sandeen's NPI number?

The NPI number for Mary Sandeen is 1639193881. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Mary Sandeen located?

Mary Sandeen practices at 1003 Willow Creek Rd, Prescott, AZ 86301. The listed phone number is (928) 771-5662.

What is Mary Sandeen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

What insurance does Mary Sandeen accept?

Health plans from Blue Cross Blue Shield of Arizona list Mary Sandeen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Sandeen was last updated on February 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.