Individual provider · Type 1 NPI

Sandra S. Nienaber

Family Nurse Practitioner · Rockford, IL

NPI number 1104015742 Active

Practice location

420 E State St, Winnebago County Jail
Rockford, IL 61104-1015

Call (815) 319-6634 Map

Fax (815) 395-5644

Mailing address

1601 Parkview Ave, S200
Rockford, IL 61107-1822

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209005207 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1104015742

Sandra S. Nienaber's National Provider Identifier is 1104015742, issued on Oct 19, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Rockford, IL. The record was last updated on Oct 19, 2007.