Individual
SANDRA LOPEZ MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3415 OLD SPANISH TRL, SEGUIN, TX 78155-7307
(830) 491-7907
Mailing address
3415 OLD SPANISH TRL, SEGUIN, TX 78155-7307
(830) 491-7907
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
880673
TX
363L00000X
Nurse Practitioner
Primary
1140066
TX
Other
Enumeration date
10/20/2023
Last updated
10/21/2023
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