MS. SANDRA WOLLENBERG N.P. NPI 1811974892

NPI Information

NPI: 1811974892
Provider Name: MS. SANDRA WOLLENBERG, N.P.
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
753 N MAIN ST
SUITE A
COTTONWOOD, AZ
ZIP 86326
Phone: (928) 634-7470
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MS. Sandra Wollenberg, N.P. is a family nurse practitioner in Cottonwood, AZ. MS. Sandra Wollenberg, N.P. NPI is 1811974892. 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:

753 N MAIN ST
SUITE A
COTTONWOOD, AZ
ZIP 86326-649
Phone: (928) 634-7470
Fax: (928) 639-3280

The enumeration date for this NPI number is 12/29/2005 and was last updated on 3/26/2008.

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	363LF0000X	Nurse Practitioner	Family	R53467	NEW MEXICO	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	Z22680	MEDICARE PIN

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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