Individual provider · Type 1 NPI
Sarah Lynette Sandoval, NP
Family Nurse Practitioner · Waterloo, IL
NPI number
1093224438
Active
Practice location
509 Hamacher St Ste 103
Waterloo, IL 62298-1592
Fax (618) 939-0245
Mailing address
220 Norma Ave
Waterloo, IL 62298-1528
Other practice locations
- 1000 Eleven S Ste 2E, Columbia, IL 62236-1079 · (618) 281-2273
- 3960 Lindell Blvd, St. Louis, MO 63108-3204 · (314) 652-0100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 041427444 (IL) |
| Adult Medicine Physician | 207QA0505X | 2012020830 (MO) |
| Family Nurse Practitioner Primary | 363LF0000X | 209016207 (IL) |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in Waterloo
About NPI 1093224438
Sarah Lynette Sandoval, NP's National Provider Identifier is 1093224438, issued on Sep 28, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Waterloo, IL. The record was last updated on Sep 3, 2019.