Sanderson, Penny Marie

Sanderson, Penny Marie is an individual health care provider with primary practice located at 1517 Broadway Suite 124, Scottsbluff NE 69361-3184. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Sanderson, Penny Marie can be contacted via phone (308) 635-2800.

Contact Information

Primary practice address
1517 Broadway Suite 124 Scottsbluff NE 69361-3184
Phone: (308) 635-2800
Fax: (308) 635-2801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 30342.1158 Wyoming
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 111108 Nebraska

Profile Details

NPI number 1013249929
LBN Legal business name Sanderson, Penny Marie
Credentials APRN, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2010
Last updated Feb 13th, 2018 - about 7 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 1013249929 NPPES
Nebraska MEDICAID 47051963312
Nebraska MEDICAID 10025914400

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