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NPI Code Detail

MEDICARE: SANDRA L NUNLEY N.P.

MEDICARE: SANDRA L NUNLEY N.P.
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 Practitioner531595TX

General Provider Information

NPI Number : 1366607442
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA L NUNLEY N.P.
Provider Business Mailing Address
First Line : 809 GALLAGHER DR STE B
Second Line :
City : SHERMAN
State : TX
Zip : 75090-1754
Country : US
Telephone Number : 903-957-0302
Fax Number : 903-893-6762
Provider Business Practice Location Address
First Line : 809 GALLAGHER DR STE B
Second Line :
City : SHERMAN
State : TX
Zip : 75090-1754
Country : US
Telephone Number : 903-957-0302
Fax Number : 903-893-6762
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2008
Last Update Date : 07/02/2013

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Directions to “ SANDRA L NUNLEY N.P.” Practice Location

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