SUZANNE M SANDOVAL CNP NPI 1437115078

NPI Information

NPI: 1437115078
Provider Name: SUZANNE M SANDOVAL, CNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
14519 DETROIT AVE
LAKEWOOD, OH
ZIP 44107
Phone: (216) 521-4200
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Suzanne M Sandoval, CNP is a pediatrics nurse practitioner in Lakewood, OH. Suzanne M Sandoval, CNP NPI is 1437115078. 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:

14519 DETROIT AVE
LAKEWOOD, OH
ZIP 44107-316
Phone: (216) 521-4200

The enumeration date for this NPI number is 4/23/2006 and was last updated on 7/8/2007.

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	363LP0200X	Nurse Practitioner	Pediatrics	NP-02678	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P63009	MEDICARE UPIN	OHIO
2	2338885	MEDICAID	OHIO

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: 4/28/2024

NPI Synchronization or Removal

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