person
Sandra Tate, APN
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist in Marion, Illinois
NPI 1326093493

Sandra Tate is a Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist based in Christopher, IL and is specialized in Psychiatric/Mental Health, Child & Adolescent. Sandra Tate practices in Marion, IL and has the professional credentials of APN. The NPI Number for Sandra Tate is 1326093493 and holds a License No. 209005279 (Illinois).

The current practice location address for Sandra Tate is 3412 Office Park Dr, Marion, IL and can be reached out via phone at 618-292-9999 and via fax at 618-551-2757.

Location: 3412 Office Park Dr, Marion, IL, 62822-0155
person
Provider Profile Details
NPI Number
1326093493
Provider Name
Sandra Tate
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
3412 Office Park Dr, Marion, IL, 62822-0155
Phone Number
618-292-9999
Fax Number
618-551-2757
Provider Enumeration Date
05/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CG2264 01 IL RR GROUP NUMBER
207988 01 IL GROUP
P00220754 01 IL RR MEDICARE NUMBER
institution
Provider Business Practice Location Address Details
Address
3412 Office Park Dr
City
State
Zip
62959-6477
Phone Number
618-292-9999
Fax Number
618-551-2757
person
Provider Business Mailing Address Details
Address
3412 Office Park Dr
City
State
Zip
62959-6477
Phone Number
618-292-9999
Fax Number
618-551-2757
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
277000849 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Psychiatric/Mental Health, Child & Adolescent
Taxonomy
License No.
041290556 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
209005279 (Illinois)
Definition
Definition to come...
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