Individual provider · Type 1 NPI

Sandra Colleen Disanto, C.N.P.

Nurse Practitioner · Novi, MI

NPI number 1356565907 Active

Practice location

47601 Grand River Ave
Novi, MI 48374-1233

Fax (248) 465-5357

Mailing address

2799 W Grand Blvd, Department Of Occupational Health
Detroit, MI 48202-2608

Other practice locations

  • 2799 W Grand Blvd, Department Of Vascular Surgery, Detroit, MI 48202-2608 · (313) 916-3156

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704206893 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1356565907

Sandra Colleen Disanto, C.N.P.'s National Provider Identifier is 1356565907, issued on Apr 13, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Novi, MI. The record was last updated on Oct 17, 2024.