Needham, Sandra Ellen

Needham, Sandra Ellen is an individual health care provider with primary practice located at 3025 Oakes Ave , Everett WA 98201-3657. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Needham, Sandra Ellen can be contacted via phone (425) 388-3609.

Contact Information

Primary practice address
3025 Oakes Ave Everett WA 98201-3657
Fax: (425) 388-3526
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP30003007 Washington

Profile Details

NPI number 1780899492
LBN Legal business name Needham, Sandra Ellen
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2007
Last updated Jul 8th, 2007 - about 17 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 1780899492 NPPES
Washington MEDICAID 9608829

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