Mrs. Sarah Lynette Sandoval
Family Doctor - Adult Medicine Nurse Practitioner - Family Medicine
509 Hamacher St Ste 103
Waterloo
, Illinois 62298-1592
Mrs. Sarah Lynette Sandoval
Family Doctor - Adult Medicine Nurse Practitioner - Family Medicine
509 Hamacher St Ste 103
Waterloo
, Illinois 62298-1592
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About
Features
Specialties
- Family Doctor - Adult Medicine
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Mrs. Sarah Lynette Sandoval
- 220 Norma Ave
- Waterloo, IL
- Zip : 62298-1528
- Phone :
Second Address
- Mrs. Sarah Lynette Sandoval
- 509 Hamacher St Ste 103
- Waterloo, IL
- Zip : 62298-1592
- Fax : (618) 939-0245
- Phone : (618) 939-2273
Reviews
FAQs
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Is Mrs. Sarah Lynette Sandoval a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207QA0505X | Family Doctor - Adult Medicine | 2012020830 | MO |
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 209016207 | IL |
National Provider Identifier
| NPI | 1093224438 |
|---|---|
| Provider Name | Mrs. Sarah Lynette Sandoval |
| First Address | Waterloo, IL 62298-1528 |
| Second Address | Waterloo, IL 62298-1592 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/09/2017 |
| Last Update Date | 03/09/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1649315219 | (05) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.