Individual
MS. SANDRA K HEADRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.R.N.
Contact information
Practice address
600 BLUES LAKE PKWY, ROLLA, MO 65401-8022
(573) 364-5719
(573) 364-6493
Mailing address
1415 W SCENIC RIVERS BLVD, SALEM, MO 65560-2840
(573) 729-5533
(573) 202-2466
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
128892
MO
Other
Enumeration date
11/02/2005
Last updated
01/13/2022
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