MEDICARE: SANDRA NIBERT

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
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1689549354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANDRA NIBERT

Provider Business Mailing Address
First Line	:	586 E FRANKLIN ST
Second Line	:
City	:	CIRCLEVILLE
State	:	OH
Zip	:	43113-1837
Country	:	US
Telephone Number	:	740-412-1701
Fax Number	:

Provider Business Practice Location Address
First Line	:	586 E FRANKLIN ST
Second Line	:
City	:	CIRCLEVILLE
State	:	OH
Zip	:	43113-1837
Country	:	US
Telephone Number	:	740-412-1701
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2025
Last Update Date	:	10/10/2025

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Directions to “ SANDRA NIBERT ” Practice Location

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