Erickson, Sandra Renee

Erickson, Sandra Renee is an individual health care provider with primary practice located at 1321 W 22Nd St , Sioux Falls SD 57105-1502. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Erickson, Sandra Renee can be contacted via phone (605) 328-1990.

Contact Information

Primary practice address
1321 W 22Nd St Sioux Falls SD 57105-1502
Phone: (605) 328-1990
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R-176503-0 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP1122 Arizona

Profile Details

NPI number 1437112315
LBN Legal business name Erickson, Sandra Renee
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated May 23rd, 2022 - about 4 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 1437112315 NPPES
Arizona MEDICAID 550568

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