Individual
SHEARITA SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP- BC
Contact information
Practice address
3113 MAGNOLIA AVE, APT 2E, SAINT LOUIS, MO 63118-1271
(314) 749-6708
Mailing address
5471 DR. MARTIN LUTHER KING DR., SAINT LOUIS, MO 63112-4265
(314) 367-5820
(314) 367-6326
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2014043293
MO
Other
Enumeration date
03/25/2015
Last updated
09/05/2025
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