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Mrs. Sandi Wanta, RN,BSN
Family Nurse Practitioner in La Grande, Oregon
NPI 1770505778

Sandi Wanta is a Family Nurse Practitioner based in La Grande, OR and is specialized in Family. Sandi Wanta practices in La Grande, OR and has the professional credentials of RN,BSN. The NPI Number for Sandi Wanta is 1770505778 and holds a License No. 200850066 (Oregon).

The current practice location address for Sandi Wanta is 506 4Th St, La Grande, OR and can be reached out via phone at 541-663-3138.

Location: 506 4Th St, La Grande, OR, 97850-1906
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770505778
Provider Name
Sandi Wanta
Credential
RN,BSN
Provider Entity Type
Individual
Gender
Female
Address
506 4Th St, La Grande, OR, 97850-1906
Phone Number
541-663-3138
Fax Number
Provider Enumeration Date
07/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
139449 05 OR
institution
Provider Business Practice Location Address Details
Address
506 4Th St
City
La Grande
State
Oregon
Zip
97850-1906
Phone Number
541-663-3138
Fax Number
person
Provider Business Mailing Address Details
Address
506 4Th St
City
La Grande
State
Oregon
Zip
97850-1906
Phone Number
541-663-3138
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
200850066 (Oregon)
Definition
Definition to come...
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