Individual provider · Type 1 NPI

Sandrine Ndetah, APRN FNP-BC

Family Nurse Practitioner · New York, NY

NPI number 1639843634 Active

Practice location

489 5th Ave Fl 3
New York, NY 10017-6145

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X113875-23 (NH)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Family Nurse Practitioner Primary 363LF0000X356099 (NY)
Family Nurse Practitioner 363LF0000XRN2391688 (MA)

Family Nurse Practitioner: Definition to come...

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About NPI 1639843634

Sandrine Ndetah, APRN FNP-BC's National Provider Identifier is 1639843634, issued on Aug 3, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New York, NY. The record was last updated on May 28, 2026.