Individual
SANDRA ELAINE LEADERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
320 EBAUGH ST, GLENWOOD, IA 51534-1811
(712) 527-5204
(712) 527-9346
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A1071752
IA
363LP2300X
Primary Care Nurse Practitioner
A071752
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0254656
—
IA
05
—
0638593
—
IA
05
—
1629150669
—
IA
05
—
47068731712
—
NE
Enumeration date
10/19/2006
Last updated
06/03/2025
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