Individual
SANDRA LERDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
13236 N 26TH PL, PHOENIX, AZ 85032-5903
(605) 929-7253
Mailing address
7010 E ACOMA DR, SCOTTSDALE, AZ 85254-3553
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AG11210010
AZ
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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