Sanders, Deidra Henley

Sanders, Deidra Henley is an individual health care provider with primary practice located at 9800 Shelbyville Rd Suite #220, Louisville KY 40223-2992. 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. Sanders, Deidra Henley can be contacted via phone (502) 429-8585.

Contact Information

Primary practice address
9800 Shelbyville Rd Suite #220 Louisville KY 40223-2992
Phone: (502) 429-8585
Fax: (502) 429-6157
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2338P Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71000277A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3002338 Kentucky

Profile Details

NPI number 1306846803
LBN Legal business name Sanders, Deidra Henley
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated Oct 29th, 2013 - about 13 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 1306846803 NPPES
Kentucky Other 1050107 PASSPORT PROVIDER NUMBER

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