Provider Demographics
NPI:1679378822
Name:MCCANN, SANDRA MARNITA (BSN, RN, CCM)
Entity type:Individual
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First Name:SANDRA
Middle Name:MARNITA
Last Name:MCCANN
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Gender:F
Credentials:BSN, RN, CCM
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Mailing Address - Street 1:703 MILFORD AVE
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23661-1141
Mailing Address - Country:US
Mailing Address - Phone:757-880-4294
Mailing Address - Fax:757-764-0968
Practice Address - Street 1:77 NEALY AVE
Practice Address - Street 2:MEDICAL CASE MANAGEMENT -SGHM
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23665-2080
Practice Address - Country:US
Practice Address - Phone:757-225-6732
Practice Address - Fax:757-764-0968
Is Sole Proprietor?:No
Enumeration Date:2025-02-13
Last Update Date:2025-02-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA604739163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management