Mooney, Sandra Marie

Mooney, Sandra Marie is an individual health care provider with primary practice located at 11065 Little Patuxent Pkwy , Columbia MD 21044-2998. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Mooney, Sandra Marie can be contacted via phone (410) 730-5700.

Contact Information

Primary practice address
11065 Little Patuxent Pkwy Columbia MD 21044-2998
Fax: (410) 964-3231
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X R03707 Maryland

Profile Details

NPI number 1710977699
LBN Legal business name Mooney, Sandra Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Jul 13th, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710977699 NPPES
Maryland Other R030707 RN

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