Henry, Sandra R.

Henry, Sandra R. is an individual health care provider with primary practice located at 2900 Lemay Ferry Rd Ste 104, Saint Louis MO 63125-3900. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Henry, Sandra R. can be contacted via phone (314) 525-1887.

Contact Information

Primary practice address
2900 Lemay Ferry Rd Ste 104 Saint Louis MO 63125-3900
Phone: (314) 525-1887
Fax: (314) 525-1868
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 104685 Missouri

Profile Details

NPI number 1831273515
LBN Legal business name Henry, Sandra R.
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Mar 14th, 2017 - about 9 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 1831273515 NPPES
Missouri MEDICAID 427423306

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