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Individual
MRS. KEASHA SANDERS
Active
Individual
MRS. KEASHA SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
166854
TN
363LF0000X
Family Nurse Practitioner
18013
TN
363LF0000X
Family Nurse Practitioner
Primary
AP133451
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
380171401
—
TX
01
—
380171402
MEDICAID CSHCN
TX
Enumeration date
10/16/2013
Last updated
05/18/2018
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