| Doctor Name: | MARSHA SANDERSON |
| NPI Number: | 1124441928 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN, WHNP-BC |
| License Number: | 18249 |
| Business Practice Address: | 529 Williamsburg Dr Atoka, TN - 380047893 |
| Business Phone Number: | 9018377359 |
| Business Fax Number: | 9018377359 |
| Mailing Address: | 529 Williamsburg Dr, ATOKA |
| State: | TN |
| Postal Code: | 380047893 |
| Phone Number: | 9018377359 |
| Fax Number: | 9018377359 |
| NPI Enumeration Date: | 01/29/2014 |
| NPI Last Update Date: | 01/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | 18249 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |