| Doctor Name: | SANDRA HEBENSTREIT |
| NPI Number: | 1265644801 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 177474 |
| Business Practice Address: | 150 Ansel Hallet Road West Yarmouth, MA - 02673 |
| Business Phone Number: | 5087718350 |
| Business Fax Number: | 5087718060 |
| Mailing Address: | 255 Communications Way, Macc-revenue Cycle HYANNIS |
| State: | MA |
| Postal Code: | 026011866 |
| Phone Number: | 5089578664 |
| Fax Number: | 5089578677 |
| NPI Enumeration Date: | 05/04/2007 |
| NPI Last Update Date: | 04/23/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 177474 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |