Doctor Name: | SANDRA LYNN SYMENS |
NPI Number: | 1205124237 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | A-104311 |
Business Practice Address: | 1428 2nd Ave N Fort Dodge, IA - 505014119 |
Business Phone Number: | 5155746110 |
Business Fax Number: | |
Mailing Address: | 24 N 9th St, FORT DODGE |
State: | IA |
Postal Code: | 505013905 |
Phone Number: | 5155746890 |
Fax Number: | |
NPI Enumeration Date: | 07/11/2011 |
NPI Last Update Date: | 06/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | A-104311 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |