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NPI Code Detail

MEDICARE: SANDRA SUE CATLIN APRN

MEDICARE: SANDRA SUE CATLIN APRN
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
1363LF0000XFamily Nurse Practitioner110325NE

General Provider Information

NPI Number : 1447205760
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA SUE CATLIN APRN
Provider Business Mailing Address
First Line : 3307 BARADA ST
Second Line : PO BOX 399
City : FALLS CITY
State : NE
Zip : 68355-2470
Country : US
Telephone Number : 402-245-4475
Fax Number : 402-245-6651
Provider Business Practice Location Address
First Line : 3307 BARADA ST
Second Line :
City : FALLS CITY
State : NE
Zip : 68355-2470
Country : US
Telephone Number : 402-245-4475
Fax Number : 402-245-6651
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2006
Last Update Date : 03/16/2011

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Directions to “ SANDRA SUE CATLIN APRN” Practice Location

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