| Doctor Name: | MS. SANDRA C. PHOENIX |
| NPI Number: | 1003858317 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | R020333 |
| Business Practice Address: | 50 E Main St Harrington, ME - 046433043 |
| Business Phone Number: | 2074834502 |
| Business Fax Number: | 2074832525 |
| Mailing Address: | 50 E Main St, HARRINGTON |
| State: | ME |
| Postal Code: | 046433043 |
| Phone Number: | 2074834502 |
| Fax Number: | 2074832525 |
| NPI Enumeration Date: | 06/12/2006 |
| NPI Last Update Date: | 02/22/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R020333 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |