Individual provider · Type 1 NPI
Shearita Sandoval, ANP- BC
Adult Health Nurse Practitioner · St. Louis, MO
NPI number
1053705392
Active
Practice location
3113 Magnolia Ave, Apt 2E
St. Louis, MO 63118-1271
Mailing address
5471 Dr. Martin Luther King Dr.
St. Louis, MO 63112-4265
Other practice locations
- 472 N Highway 67 St, Florissant, MO 63031-5102 · (314) 343-5061
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 2014043293 (MO) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1053705392
Shearita Sandoval, ANP- BC's National Provider Identifier is 1053705392, issued on Mar 25, 2015. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in St. Louis, MO. The record was last updated on Sep 5, 2025.