MEDICARE: MS. SANDRA REGINA APPEL 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
1	163WP0200X	Pediatric Registered Nurse	605550	NY
2	363LF0000X	Family Nurse Practitioner	103190	TX

General Provider Information

NPI Number	:	1548562960
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SANDRA REGINA APPEL APRN

Provider Business Mailing Address
First Line	:	1616 CLEAR LAKE CITY BLVD STE 102
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77062-8069
Country	:	US
Telephone Number	:	713-493-1346
Fax Number	:

Provider Business Practice Location Address
First Line	:	1616 CLEAR LAKE CITY BLVD STE 102
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77062-8069
Country	:	US
Telephone Number	:	713-493-1346
Fax Number	:

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

Provider Enumeration Date	:	11/18/2010
Last Update Date	:	08/08/2024

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