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NPI Code Detail

MEDICARE: SANDRA GILBERTSON PNP

MEDICARE:   SANDRA  GILBERTSON  PNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0200XPediatric Nurse Practitioner138700MO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3P00688411OTHERMORR MEDICARE

Other Identifiers

General Provider Information

NPI Number : 1427008085
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA GILBERTSON PNP
Provider Business Mailing Address
First Line : 101 MOSAIC CT STE 200
Second Line :
City : SAINT JOSEPH
State : MO
Zip : 64506-0015
Country : US
Telephone Number : 816-271-1350
Fax Number : 816-271-1355
Provider Business Practice Location Address
First Line : 101 MOSAIC CT STE 200
Second Line :
City : SAINT JOSEPH
State : MO
Zip : 64506-0015
Country : US
Telephone Number : 816-271-1350
Fax Number : 816-271-1355
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2006
Last Update Date : 04/14/2026

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Directions to “ SANDRA GILBERTSON PNP” Practice Location

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