Provider Demographics
NPI:1447825674
Name:PRATT, SANDRA NORTHCOTT (FNP)
Entity type:Individual
Prefix:MS
First Name:SANDRA
Middle Name:NORTHCOTT
Last Name:PRATT
Suffix:
Gender:
Credentials:FNP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 360
Mailing Address - Street 2:
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-0360
Mailing Address - Country:US
Mailing Address - Phone:888-339-6065
Mailing Address - Fax:828-538-4441
Practice Address - Street 1:111 CENTRAL ST
Practice Address - Street 2:
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-5412
Practice Address - Country:US
Practice Address - Phone:828-586-7705
Practice Address - Fax:855-308-2340
Is Sole Proprietor?:No
Enumeration Date:2021-05-20
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5014558363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1447825674Medicaid
NC007708561OtherUHC
NC20JW3OtherBCBS NC
NCNNG723BOtherMEDICARE
NCQ00778259OtherRAILROAD MEDICARE