| Doctor Name: | REBECCA ANNE SANFORD |
| NPI Number: | 1043432750 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN BC |
| License Number: | 176402 |
| Business Practice Address: | 115 Mill St Mclean Hospital Cec Belmont, MA - 024781041 |
| Business Phone Number: | 6178552538 |
| Business Fax Number: | |
| Mailing Address: | Po Box 303, WAREHAM |
| State: | MA |
| Postal Code: | 025710303 |
| Phone Number: | 5082950378 |
| Fax Number: | |
| NPI Enumeration Date: | 05/03/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0809X |
| License Number: | 176402 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |