Individual provider · Type 1 NPI
Sandra Tate, APN, PMNCNS-BC
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist · Marion, IL
NPI number
1326093493
Active
Practice location
3412 Office Park Dr
Marion, IL 62959-6477
Fax (618) 551-2757
Mailing address
1601 Medlin Rd
Centralia, IL 62801-9531
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | 277-000849 (IL) |
| Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist Primary | 364SP0807X | 277000849 (IL) |
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist: Definition to come...
12 other providers at this address
- Cyberlink Health PLLCPediatrics Physician Marion, IL NPI 1992573547
- Health Heroes of Illinois, Inc.General Practice Physician Marion, IL NPI 1588054100
- Amy Elizabeth Gerwe, MDPediatrics Physician Marion, IL NPI 1225257470
- Annie Imboden, CNPPediatric Nurse Practitioner Marion, IL NPI 1093904179
- Erica Marie Grimm, DOPediatrics Physician Marion, IL NPI 1346746419
- Gina Gladson, MSN FNP-CNurse Practitioner Marion, IL NPI 1437699147
- Jayda Lea Kosydor, APRNPediatric Nurse Practitioner Marion, IL NPI 1356935100
- Margaret XandersPediatric Nurse Practitioner Marion, IL NPI 1710798830
- Michelle Wharton, APN, NP-CFamily Nurse Practitioner Marion, IL NPI 1073966313
- Sadashivaiah Bhaskar, MDPediatrics Physician Marion, IL NPI 1417002098
- Sarah B. Ford, NNP, FNPNeonatal Nurse Practitioner Marion, IL NPI 1720240914
- Tarryn Kacey WhortonPediatric Nurse Practitioner Marion, IL NPI 1124987821
About NPI 1326093493
Sandra Tate, APN, PMNCNS-BC's National Provider Identifier is 1326093493, issued on May 24, 2006. The primary taxonomy on file is Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist (364SP0807X), and the practice location is in Marion, IL. The record was last updated on Jan 15, 2026.