Individual provider · Type 1 NPI
Shannon N. Sandstrom, NP
Adult Health Nurse Practitioner · Randolph, WI
NPI number
1194778324
Active
Practice location
137 Cambria St
Randolph, WI 53956
Mailing address
420 E Division St
Fond Du Lac, WI 54935-4560
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 2722 (WI) |
Adult Health Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1194778324
Shannon N. Sandstrom, NP's National Provider Identifier is 1194778324, issued on May 18, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Randolph, WI. The record was last updated on Jul 13, 2026.