Healthcare Provider Details

I. General information

NPI: 1154248243
Provider Name (Legal Business Name): MRS. BELINDA SANDERS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9114 S GLENVIEW DR
LA VISTA NE
68128-3129
US

IV. Provider business mailing address

1106 14TH AVE
COUNCIL BLUFFS IA
51501-6280
US

V. Phone/Fax

Practice location:
  • Phone: 712-310-9737
  • Fax:
Mailing address:
  • Phone: 712-310-9737
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: