Doctor Name: | SANDRA HEMBREE |
NPI Number: | 1093955866 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 4704244772 |
Business Practice Address: | 3159 Autumn View Lane Metamora, MI - 48455 |
Business Phone Number: | 8105431900 |
Business Fax Number: | |
Mailing Address: | 3159 Autumn View Lane, METAMORA |
State: | MI |
Postal Code: | 48455 |
Phone Number: | 8105431900 |
Fax Number: | |
NPI Enumeration Date: | 03/05/2009 |
NPI Last Update Date: | 09/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 4704244772 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |