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Individual

MRS. SANDRA LYNN PRATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, MSN, FNP-BC

Contact information

Practice address
3770 GLENKERRY CT, PORTAGE, MI 49024-0700
(269) 329-2887
(269) 329-2805
Mailing address
3245 HEALTH DRIVE, SUITE 100, GRANGER, IN 46530-1380
(574) 647-1840

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704291378
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1831334762
MI
Enumeration date
12/05/2008
Last updated
04/30/2024
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