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Individual
SANDRA SUE GOVRO
Active
Individual
SANDRA SUE GOVRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, PMHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
104056
MO
363L00000X
Nurse Practitioner
735706
TX
363LF0000X
Family Nurse Practitioner
104056
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2021026634
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104056
MISSOURI LICENSE
MO
01
—
735706
TEXAS LICENSE
TX
Enumeration date
11/30/2011
Last updated
11/15/2021
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