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Ms. Sandra S Nienaber
Family Nurse Practitioner in Rockford, Illinois
NPI 1104015742

Sandra S Nienaber is a Family Nurse Practitioner based in Rockford, IL and is specialized in Family. Sandra S Nienaber practices in Rockford, IL. The NPI Number for Sandra S Nienaber is 1104015742 and holds a License No. 209005207 (Illinois).

The current practice location address for Sandra S Nienaber is 420 E State St, Rockford, IL and can be reached out via phone at 815-319-6634 and via fax at 815-395-5644.

Location: 420 E State St, Rockford, IL, 61107-1822
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104015742
Provider Name
Sandra S Nienaber
Credential
Provider Entity Type
Individual
Gender
Female
Address
420 E State St, Rockford, IL, 61107-1822
Phone Number
815-319-6634
Fax Number
815-395-5644
Provider Enumeration Date
10/19/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
420 E State St
City
Rockford
State
Illinois
Zip
61104-1015
Phone Number
815-319-6634
Fax Number
815-395-5644
person
Provider Business Mailing Address Details
Address
420 E State St
City
Rockford
State
Illinois
Zip
61104-1015
Phone Number
815-319-6634
Fax Number
815-395-5644
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209005207 (Illinois)
Definition
Definition to come...
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