Mitkos, Sandra Lee

Mitkos, Sandra Lee is an sole proprietor health care provider with primary practice located at 108 Frizzell St , Potosi MO 63664-1505. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mitkos, Sandra Lee can be contacted via phone (573) 438-5408.

Contact Information

Primary practice address
108 Frizzell St Potosi MO 63664-1505
Fax: (573) 438-2419
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2009036279 Missouri

Profile Details

NPI number 1790015527
LBN Legal business name Mitkos, Sandra Lee
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2009
Last updated Apr 25th, 2018 - about 6 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.

Request for update

Popular Providers