Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | G156101 | IA |
NPI | 1003466921 |
---|---|
Provider Name | Sandra M Cayler |
First Address | Carroll, IA 51401-3901 |
Second Address | Carroll, IA 51401-3038 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/09/2019 |
Last Update Date | 12/09/2019 |