Pratt, Sandra Lynn
Pratt, Sandra Lynn is an individual health care provider with primary practice located at 3770 Glenkerry Ct , Portage MI 49024-0700. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Pratt, Sandra Lynn can be contacted via phone (269) 329-2887.Contact Information
Primary practice address
3770 Glenkerry Ct
Portage MI 49024-0700
Phone: (269) 329-2887
Fax: (269) 329-2805
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 4704291378 | Michigan |
Profile Details
| NPI number | 1831334762 |
|---|---|
| LBN Legal business name | Pratt, Sandra Lynn |
| Credentials | RN, MSN, FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2008 |
| Last updated | Apr 30th, 2024 - about 8 months 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 | 1831334762 | NPPES |
| Michigan | MEDICAID | 1831334762 |
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