| Doctor Name: | SANDRA MCGUIRE |
| NPI Number: | 1194064634 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NPC |
| License Number: | NP990365 |
| Business Practice Address: | 507 Central Avenue Dolores, CO - 81323 |
| Business Phone Number: | 9708827221 |
| Business Fax Number: | |
| Mailing Address: | 11621 County Road 38.5, MANCOS |
| State: | CO |
| Postal Code: | 81328 |
| Phone Number: | 9705331467 |
| Fax Number: | |
| NPI Enumeration Date: | 02/04/2013 |
| NPI Last Update Date: | 02/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SF0001X |
| License Number: | NP990365 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Family Health |
| Taxonomy Definition: | |