Ulmer, Sandra Louise

Ulmer, Sandra Louise is an individual health care provider with primary practice located at 1840 Mesquite Ave Ste B , Lake Havasu City AZ 86403-5771. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ulmer, Sandra Louise can be contacted via phone (928) 453-8500.

Contact Information

Primary practice address
1840 Mesquite Ave Ste B Lake Havasu City AZ 86403-5771
Phone: (928) 453-8500
Fax: (928) 854-4229
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 15710 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4136 Arizona

Profile Details

NPI number 1912296211
LBN Legal business name Ulmer, Sandra Louise
Credentials DNP, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2011
Last updated Mar 30th, 2018 - about 6 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 1912296211 NPPES
Arizona MEDICAID 627947

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