Avitia, Sandra

Avitia, Sandra is an sole proprietor health care provider with primary practice located at 3200 Chouteau Ave , Saint Louis MO 63103-2910. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Avitia, Sandra can be contacted via phone (314) 977-1250.

Contact Information

Primary practice address
3200 Chouteau Ave Saint Louis MO 63103-2910
Phone: (314) 977-1250
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2015026485 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209013047 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 209013047 Illinois

Profile Details

NPI number 1871969105
LBN Legal business name Avitia, Sandra
Credentials NP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 21st, 2015
Last updated Jan 11th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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