Individual provider · Type 1 NPI

Ethan A. Sanders, APRN

Acute Care Nurse Practitioner · Decatur, IL

NPI number 1134089949 Active

Practice location

2300 N Edward St
Decatur, IL 62526-4192

Mailing address

2300 N Edward St Ste 2400
Decatur, IL 62526-4192

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600X209.033959 (IL)
Acute Care Nurse Practitioner Primary 363LA2100X209.033959 (IL)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1134089949

Ethan A. Sanders, APRN's National Provider Identifier is 1134089949, issued on Nov 13, 2025. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Decatur, IL. The record was last updated on Dec 1, 2025.