Provider Demographics
NPI:1003910183
Name:ZEHNDER, SANDRA S (CPNP)
Entity type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:S
Last Name:ZEHNDER
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:SANDRA
Other - Middle Name:VICTORIA
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3005 ROYAL BLVD S
Mailing Address - Street 2:SUITE 110
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-1409
Mailing Address - Country:US
Mailing Address - Phone:770-442-5437
Mailing Address - Fax:770-664-7836
Practice Address - Street 1:3005 ROYAL BLVD S
Practice Address - Street 2:SUITE 110
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-1409
Practice Address - Country:US
Practice Address - Phone:770-442-5437
Practice Address - Fax:770-664-7836
Is Sole Proprietor?:No
Enumeration Date:2006-09-11
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAR067932208000000X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No208000000XAllopathic & Osteopathic PhysiciansPediatrics