Brackert, Sandra Rose

Brackert, Sandra Rose is an individual health care provider with primary practice located at 2336 Santa Monica Blvd Ste 301 , Santa Monica CA 90404-2067. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Brackert, Sandra Rose can be contacted via phone (310) 829-5471.

Contact Information

Primary practice address
2336 Santa Monica Blvd Ste 301 Santa Monica CA 90404-2067
Phone: (310) 829-5471
Fax: (310) 829-6192
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP 17550 California

Profile Details

NPI number 1881824332
LBN Legal business name Brackert, Sandra Rose
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2009
Last updated Jul 17th, 2009 - 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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