MEDICARE: MS. SANDRA GERMAN ANP RNP RN

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	163W00000X	Registered Nurse	R35579	AR
2	363L00000X	Nurse Practitioner	P00980	AR
3	364S00000X	Clinical Nurse Specialist	A01065	AR

General Provider Information

NPI Number	:	1932100625
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SANDRA GERMAN ANP RNP RN

Provider Business Mailing Address
First Line	:	3633 CENTRAL AVE
Second Line	:	SUITE N
City	:	HOT SPRINGS
State	:	AR
Zip	:	71913-6404
Country	:	US
Telephone Number	:	501-623-6100
Fax Number	:	501-623-6187

Provider Business Practice Location Address
First Line	:	3633 CENTRAL AVE
Second Line	:	SUITE N
City	:	HOT SPRINGS
State	:	AR
Zip	:	71913-6404
Country	:	US
Telephone Number	:	501-623-6100
Fax Number	:	501-623-6187

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

Provider Enumeration Date	:	08/03/2005
Last Update Date	:	09/11/2025

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