Individual
SANDRA L IVERSON
Active
Individual
SANDRA L IVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R 063381-7
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025A2IV
BCBS
MN
01
—
1043948
PREFERRED ONE
—
01
—
104736
U CARE
MN
01
—
12-00987
MEDICA-CHOICE
—
01
—
12-09026
MEDICA-PRIMARY
—
01
—
1576851
AMERICAS PPO/ARAZ
—
01
—
207209
FAIRVIEW
MN
05
—
4305613
—
MT
05
—
43929100
—
WI
05
—
941742700
—
MN
01
—
A520
CHAMPUS
—
01
—
HP21983
HEALTH PARTNERS
MN
01
—
P00014192
RAILROAD MEDICARE
—
Enumeration date
09/26/2006
Last updated
10/03/2012
Update your record
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