Sandra Marie Roller , LPN
Licensed Practical Nurse • Newburgh, NY
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Sandra Roller has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Sandra Roller, LPN was a registered Licensed Practical Nurse practicing in Newburgh, NY. Throughout an active medical career spanning 7 years, Sandra Roller provided care at the practice location at 90 POWDER MILL RD until profile deactivation on 2024-08-19.
Practice Location & Contact Primary Location
90 Powder Mill Rd
Newburgh, NY 125502655
Specialty Benchmarks & Practice Insights
Comparative analytics for Licensed Practical Nurse in Newburgh, NY
Practicing in Newburgh, NY (23738 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 164W00000X
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Career & Practice History Timeline
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Record deactivated on August 19, 2024
Licensed Practical Nurse (License #26NP06092200 in NJ)
NPI status registered as active in NPPES database
Registered at 90 POWDER MILL RD, NEWBURGH, NY 125502655 (Tel: (609) 634-6086)
Registered at 90 POWDER MILL RD, NEWBURGH, NY 125502655 (Tel: 6096346086)
Recorded as SANDRA ROLLER, LPN
Licensed Practical Nurse (License #26NP06092200 in NJ)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
90 Powder Mill Rd
Newburgh, NY 125502655
Phone: 6096346086
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