SANDRA SUE GOVRO FNP-BC PMHNP-BC NPI 1811264104

NPI Information

NPI: 1811264104
Provider Name: SANDRA SUE GOVRO, FNP-BC, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
15316 PERRY ST
OVERLAND PARK, KS
ZIP 66221
Phone: (913) 557-0007
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Sandra Sue Govro, FNP-BC, PMHNP-BC is a psychiatric/mental health nurse practitioner in Overland Park, KS with 9 years of experience. Sandra Sue Govro, FNP-BC, PMHNP-BC NPI is 1811264104. 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:

15316 PERRY ST
OVERLAND PARK, KS
ZIP 66221-504
Phone: (913) 557-0007

The NPI 1811264104 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 11/30/2011 and was last updated on 11/15/2021.

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	363L00000X	Nurse Practitioner		735706	TEXAS	No
2	363L00000X	Nurse Practitioner		104056	MISSOURI	No
3	363LF0000X	Nurse Practitioner	Family	104056	MISSOURI	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	2021026634	MISSOURI	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	104056	OTHER	MISSOURI	MISSOURI LICENSE
2	735706	OTHER	TEXAS	TEXAS LICENSE

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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