Peterson, Sandra
Peterson, Sandra is an individual health care provider with primary practice located at 301 Seton Pkwy Ste 104 , Round Rock TX 78665-8003. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Peterson, Sandra can be contacted via phone (512) 687-2300.Contact Information
Primary practice address
301 Seton Pkwy Ste 104
Round Rock TX 78665-8003
Phone: (512) 687-2300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP128378 | Texas |
Profile Details
| NPI number | 1700269651 |
|---|---|
| LBN Legal business name | Peterson, Sandra |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 9th, 2015 |
| Last updated | Jan 8th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700269651 | NPPES |
| Texas | MEDICAID | 348189701 |
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