SANDRA DEAN MUMFORD

LAFAYETTE, IN
NPI1114223872
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IN  86009)
Additional Taxonomies163W00000X Registered Nurse
(Licence: IN  28240085A)
367500000X Nurse Anesthetist, Certified Registered
(Licence: ID  N-20588)
Enumeration Date2011-01-28
Last Update Date2018-03-17
Business Address
Mrs. SANDRA DEAN MUMFORD CRNA
2600 GREENBUSH ST
LAFAYETTE, IN 47904-2477
Phone number: 765-448-8000
Mailing Address
Mrs. SANDRA DEAN MUMFORD CRNA
2401 W BELVEDERE AVE
BALTIMORE, MD 21215-5216
Phone number: 410-601-5209