Moore, Sandra Lee

Moore, Sandra Lee is an sole proprietor health care provider with primary practice located at 609 W Maple Ave , Springdale AR 72764-5335. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Moore, Sandra Lee can be contacted via phone (479) 757-1260.

Contact Information

Primary practice address
609 W Maple Ave Springdale AR 72764-5335
Phone: (479) 757-1260
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 124033 Arkansas

Profile Details

NPI number 1710504931
LBN Legal business name Moore, Sandra Lee
Credentials AGACNP, APRN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2020
Last updated Oct 12th, 2020 - 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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