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
Phone: (573) 438-5408
Fax: (573) 438-2419
Website:
Health care specialties
Specialty | Code | License # | 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.
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