Individual
MS. SANDRA JEAN WHEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNC
Contact information
Practice address
1615 DELAWARE ST, LONGVIEW, WA 98632-2367
(360) 414-7960
(360) 414-2750
Mailing address
3477 FOREST VIEW CT, RENO, NV 89511-5310
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60914133
WA
363LF0000X
Family Nurse Practitioner
APN00547
NV
Other
Enumeration date
07/03/2006
Last updated
05/28/2022
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