| Doctor Name: | MRS. SANDRA STEWART MABRY |
| NPI Number: | 1275516841 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CFNP |
| License Number: | 0024064005 |
| Business Practice Address: | 120 Northr Commerce Avenue Front Royal, VA - 22630 |
| Business Phone Number: | 5406350700 |
| Business Fax Number: | |
| Mailing Address: | 1500 N Royal Ave, Po Box 137 FRONT ROYAL |
| State: | VA |
| Postal Code: | 226303628 |
| Phone Number: | 5405149709 |
| Fax Number: | |
| NPI Enumeration Date: | 11/28/2005 |
| NPI Last Update Date: | 04/15/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 0024064005 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |