Herder, Sandra M

Herder, Sandra M is an individual health care provider with primary practice located at 100 Ross Blvd Suite 2A , Dodge City KS 67801. 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 / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Herder, Sandra M can be contacted via phone (620) 227-3141.

Contact Information

Primary practice address
100 Ross Blvd Suite 2A Dodge City KS 67801
Phone: (620) 227-3141
Fax: (620) 227-8095
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1474105061 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 53-44816 Kansas

Profile Details

NPI number 1982855565
LBN Legal business name Herder, Sandra M
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2008
Last updated Jul 21st, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1982855565 NPPES
Kansas Other 111190002 MEDICARE PTAN

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