Sandra Elaine Leaders in Malvern - Nurse Practitioner

Sandra Elaine Leaders - NPI 1629150669

Sandra Elaine Leaders is a Nurse Practitioner in Malvern, Iowa. Sandra Elaine Leaders practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Sandra Elaine Leaders is 1629150669. The last update date is 2019-11-20.

Sandra Elaine Leaders's current location address is 415 Main St Ste 1, Malvern, Iowa. You can contact this provider via phone number 7126249185 and fax number 7126248827. The mailing address for Sandra Elaine Leaders is 415 Main St Ste 1, Malvern, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name Sandra Elaine Leaders
Address 415 Main St Ste 1, Malvern, Iowa
Phone Number 7126249185
Fax Number 7126248827
Sole Proprietor N
Credentials F.N.P.

NPI Number Detail

NPI Number 1629150669
Provider Enumeration Date 2006-10-19
Last Updated Date 2019-11-20

Provider Mailing Address Detail

Address 415 Main St Ste 1
City Malvern
State Iowa (IA)
Post Code 515518137
Phone Number 7126249185
Fax Number 7126248827

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No A1071752
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1629150669 IA --
254656 IA --
638593 IA --
47068731712 NE --

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FAQs about Sandra Elaine Leaders

What is the unique provider identifier assigned to Sandra Elaine Leaders?

The Sandra Elaine Leaders has been issued the NPI (National Provider Identifier) 1629150669 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Sandra Elaine Leaders's facilities are situated?

The facilities of Sandra Elaine Leaders are physically located at the following address: 415 Main St Ste 1, Malvern, IA, 515518137.

What is Sandra Elaine Leaders's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Sandra Elaine Leaders is Nurse Practitioner, and the taxonomy code that classifies this field of practice is 363L00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1629150669 to Sandra Elaine Leaders?

The Sandra Elaine Leaders received its 1629150669 assignment from the Centers for Medicare & Medicaid Services on 2006-10-19.

As of what date were the details related to Sandra Elaine Leaders most recently updated or revised?

The information pertaining to Sandra Elaine Leaders, including its address, specialty, and other relevant details, was last updated or revised on 2019-11-20.

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