Doctor Name: | SANDRA TROXEL |
NPI Number: | 1003274275 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DNP/APRN |
License Number: | A004642 |
Business Practice Address: | 2816 Fox Meadow Ln Jonesboro, AR - 724049346 |
Business Phone Number: | 8703361675 |
Business Fax Number: | |
Mailing Address: | Po Box 497, AUGUSTA |
State: | AR |
Postal Code: | 720060497 |
Phone Number: | 8703472534 |
Fax Number: | 8703473492 |
NPI Enumeration Date: | 02/03/2016 |
NPI Last Update Date: | 03/17/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | A004642 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |