Spackman, Sandra Deanne

Spackman, Sandra Deanne is an individual health care provider with primary practice located at 30 N 1900 E 4A100, Salt Lake City UT 84132-0002. 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. Spackman, Sandra Deanne can be contacted via phone (801) 585-7676.

Contact Information

Primary practice address
30 N 1900 E 4A100 Salt Lake City UT 84132-0002
Phone: (801) 585-7676
Fax: (801) 581-7735
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 288353-4405 Utah
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 288353-8900 Utah

Profile Details

NPI number 1164892592
LBN Legal business name Spackman, Sandra Deanne
Credentials MSN, APRN, AGANCP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2015
Last updated Nov 18th, 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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