SHEARITA SANDOVAL ANP- BC NPI 1053705392

NPI Information

NPI: 1053705392
Provider Name: SHEARITA SANDOVAL, ANP- BC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Organization: CARESTL HEALTH

PECOS Registration: Yes

Address:
3113 MAGNOLIA AVE
APT 2E
SAINT LOUIS, MO
ZIP 63118
Phone: (314) 749-6708
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Shearita Sandoval, ANP- BC is an adult health nurse practitioner in Saint Louis, MO with 11 years of experience. Shearita Sandoval, ANP- BC NPI is 1053705392. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3113 MAGNOLIA AVE
APT 2E
SAINT LOUIS, MO
ZIP 63118-271
Phone: (314) 749-6708

The NPI 1053705392 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/25/2015 and was last updated on 7/24/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	2014043293	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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