Doctor Name: | MS. SANDRA KAY ENSMAN |
NPI Number: | 1124037023 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 00099125 |
Business Practice Address: | 1650 Cochrane Circle Evans Army Hospital Fort Carson, CO - 80913 |
Business Phone Number: | 7195267494 |
Business Fax Number: | |
Mailing Address: | 1118 Lawn Lake Trl, COLORADO SPRINGS |
State: | CO |
Postal Code: | 809213671 |
Phone Number: | 7194814897 |
Fax Number: | |
NPI Enumeration Date: | 08/07/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WX0106X |
License Number: | 00099125 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Occupational Health |
Taxonomy Definition: |