Individual
CAROL R SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1125 MADISON ST, JEFFERSON CITY, MO 65101-5227
(573) 634-2620
(573) 634-2033
Mailing address
1125 MADISON ST, JEFFERSON CITY, MO 65101-5227
(573) 634-2620
(573) 634-2033
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
107207
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
429911407
—
MO
Enumeration date
08/01/2007
Last updated
02/11/2016
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