| Doctor Name: | SANDRA LIMERICK |
| NPI Number: | 1073697371 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNP |
| License Number: | CP000351 |
| Business Practice Address: | 113 Comanche Rd Fort Meade, SD - 577411002 |
| Business Phone Number: | 6053472511 |
| Business Fax Number: | 6053477204 |
| Mailing Address: | 113 Comanche Rd, FORT MEADE |
| State: | SD |
| Postal Code: | 577411002 |
| Phone Number: | 6053472511 |
| Fax Number: | 6053477204 |
| NPI Enumeration Date: | 10/24/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | CP000351 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | SD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |