Moran, Sandra M

Moran, Sandra M is an individual health care provider with primary practice located at 2205 W Lincoln Ave , Yakima WA 98902-2437. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Moran, Sandra M can be contacted via phone (509) 469-6305.

Contact Information

Primary practice address
2205 W Lincoln Ave Yakima WA 98902-2437
Phone: (509) 469-6305
Fax: (509) 575-3398
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 13906 California

Profile Details

NPI number 1700097508
LBN Legal business name Moran, Sandra M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated Mar 11th, 2022 - about 3 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 1700097508 NPPES
California MEDICAID GR0101242
California MEDICAID GR0101241
California Other ZZZ27958Z
California MEDICAID GR0101240

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