Sandoval, Memphis Chardell
Sandoval, Memphis Chardell is an individual health care provider with primary practice located at 240 N Tillotson Ave , Muncie IN 47304-3988. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Sandoval, Memphis Chardell can be contacted via phone (765) 288-1928.Contact Information
Primary practice address
240 N Tillotson Ave
Muncie IN 47304-3988
Phone: (765) 288-1928
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 4704299093 | Michigan |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 4704299093 | Michigan |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 863235 | Nevada |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 71014109A | Indiana |
Profile Details
NPI number | 1720692494 |
---|---|
LBN Legal business name | Sandoval, Memphis Chardell |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 1st, 2020 |
Last updated | Mar 13th, 2024 - about last year |
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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