Individual provider · Type 1 NPI

Sandra Shivamber, FNP

Family Nurse Practitioner · Lake Success, NY

NPI number 1265741292 Active

Practice location

1991 Marcus Ave, Suite M107
Lake Success, NY 11042

Fax (516) 745-0976

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X335980 (NY)
Family Nurse Practitioner Primary 363LF0000XF335980-1 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1265741292

Sandra Shivamber, FNP's National Provider Identifier is 1265741292, issued on Sep 24, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lake Success, NY. The record was last updated on Sep 13, 2011.