Individual
AUDREY DENISE SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 747-7887
Mailing address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 747-7887
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
589894
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
589894
TX LICENSE
TX
Enumeration date
05/30/2008
Last updated
06/23/2009
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