Individual
MS. SANDRA FAYE OSWALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
70 MEDICAL PLZ, EUPORA, MS 39744-4018
(662) 258-9400
(662) 258-9433
Mailing address
70 MEDICAL PLZ, EUPORA, MS 39744-4018
(662) 258-9400
(662) 258-9433
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R605859
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07251213
—
MS
Enumeration date
08/23/2006
Last updated
03/20/2017
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