Leaders, Sandra Elaine

Leaders, Sandra Elaine is an individual health care provider with primary practice located at 415 Main St Ste 1 , Malvern IA 51551-8137. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Leaders, Sandra Elaine can be contacted via phone (712) 624-9185.

Contact Information

Primary practice address
415 Main St Ste 1 Malvern IA 51551-8137
Phone: (712) 624-9185
Fax: (712) 624-8827
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X A071752 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X A1071752 Iowa

Profile Details

NPI number 1629150669
LBN Legal business name Leaders, Sandra Elaine
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Nov 20th, 2019 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1629150669 NPPES
Iowa MEDICAID 1629150669
Iowa MEDICAID 0254656
Iowa MEDICAID 0638593
Iowa MEDICAID 47068731712

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