Individual
TANYA SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
4701 1ST AVENUE PL, KEARNEY, NE 68847-8355
(308) 440-5164
Mailing address
4701 1ST AVENUE PL, KEARNEY, NE 68847-8355
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
113045
NE
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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