Healthcare Provider Details

I. General information

NPI: 1144263013
Provider Name (Legal Business Name): SANDRA ANN SCHERPEREEL FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 05/25/2021
Certification Date: 05/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

602 INDIANA AVE
LUBBOCK TX
79415-3364
US

IV. Provider business mailing address

5219 CITY BANK PKWY STE 214
LUBBOCK TX
79407-3537
US

V. Phone/Fax

Practice location:
  • Phone: 806-761-0878
  • Fax:
Mailing address:
  • Phone: 806-761-0360
  • Fax: 806-782-0097

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number606242
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP111112
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: