Miller, Sandra Gayle
Miller, Sandra Gayle is an individual health care provider with primary practice located at 1100 Carson Ave Suite 201, La Junta CO 81050-2751. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Miller, Sandra Gayle can be contacted via phone (719) 383-5900.Contact Information
Primary practice address
1100 Carson Ave Suite 201
La Junta CO 81050-2751
Phone: (719) 383-5900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | NP-5129 | Colorado |
Profile Details
| NPI number | 1942485719 |
|---|---|
| LBN Legal business name | Miller, Sandra Gayle |
| Credentials | FAM NURSE PRACTIONER |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2007 |
| Last updated | Jul 7th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942485719 | NPPES |
| Colorado | MEDICAID | 74637801 |
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