Nieto, Sandra

Nieto, Sandra is an individual health care provider with primary practice located at 4060 Medical Park Dr , Odessa TX 79765-2233. 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. Nieto, Sandra can be contacted via phone (432) 582-2882.

Contact Information

Primary practice address
4060 Medical Park Dr Odessa TX 79765-2233
Phone: (432) 582-2882
Fax: (432) 582-2884
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP133121 Texas

Profile Details

NPI number 1013444892
LBN Legal business name Nieto, Sandra
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2017
Last updated May 14th, 2021 - about 5 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 1013444892 NPPES
Texas MEDICAID 372353802

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