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NPI Code Detail

MEDICARE: KATHERINE A SANDLIN CPNP

MEDICARE: KATHERINE A SANDLIN CPNP
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 PractitionerAP134244TX
2363LA2100XAcute Care Nurse PractitionerAP134244TX
3363LP0200XPediatric Nurse Practitioner754501TX

General Provider Information

NPI Number : 1881124089
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE A SANDLIN CPNP
Provider Business Mailing Address
First Line : PO BOX 733784
Second Line :
City : DALLAS
State : TX
Zip : 75373-3784
Country : US
Telephone Number : 682-885-1855
Fax Number : 682-885-1396
Provider Business Practice Location Address
First Line : 801 7TH AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-2733
Country : US
Telephone Number : 682-885-3817
Fax Number : 682-885-3825
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2017
Last Update Date : 02/03/2026

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Directions to “ KATHERINE A SANDLIN CPNP” Practice Location

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