Basic Information
| Provider Information | |||||||||
| NPI: | 1932100625 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GERMAN | ||||||||
| FirstName: | SANDRA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | ANP RNP RN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3633 CENTRAL AVE | ||||||||
| Address2: | SUITE N | ||||||||
| City: | HOT SPRINGS | ||||||||
| State: | AR | ||||||||
| PostalCode: | 719136404 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5016236100 | ||||||||
| FaxNumber: | 5016236187 | ||||||||
| Practice Location | |||||||||
| Address1: | 3633 CENTRAL AVE | ||||||||
| Address2: | SUITE N | ||||||||
| City: | HOT SPRINGS | ||||||||
| State: | AR | ||||||||
| PostalCode: | 719136404 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5016236100 | ||||||||
| FaxNumber: | 5016236187 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/03/2005 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | R35579 | AR | X | Nursing Service Providers | Registered Nurse | 363L00000X | P00980 | AR | X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 364S00000X | A01065 | AR | X | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist |
No ID Information.