Individual
SANDRA K MENKEDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
06618
OH
363L00000X
Nurse Practitioner
3591P
KY
363L00000X
Nurse Practitioner
Primary
APRNCNP06618
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2364365
—
OH
Enumeration date
04/21/2006
Last updated
02/19/2018
Update your record
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