| Doctor Name: | SANDY MARIE STAGELMAN |
| NPI Number: | 1003036500 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 19568 |
| Business Practice Address: | 3101 Penland Pkwy Suite J11 Anchorage, AK - 995081906 |
| Business Phone Number: | 9073348535 |
| Business Fax Number: | 9072798032 |
| Mailing Address: | 3810 Marcy Ct, ANCHORAGE |
| State: | AK |
| Postal Code: | 995022835 |
| Phone Number: | 9077706224 |
| Fax Number: | 9077701692 |
| NPI Enumeration Date: | 04/26/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WI0500X |
| License Number: | 19568 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AK |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Infusion Therapy |
| Taxonomy Definition: | |