Individual
MS. SANDRIA R NIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DR. FNP
Contact information
Practice address
211 N EDDY ST., SOUTH BEND, IN 46617-3096
(574) 237-9331
(574) 237-9252
Mailing address
500 KIRTS BLVD STE 100, TROY, MI 48084-4135
(484) 346-1692
(855) 618-6655
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704141786
MI
363L00000X
Nurse Practitioner
Primary
71001771A
IN
363LF0000X
Family Nurse Practitioner
71001771A
IN
Other
Enumeration date
11/02/2005
Last updated
02/08/2021
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