Individual provider · Type 1 NPI
Loretta Sandoval, RN, CNM
Obstetrics & Gynecology Nurse Practitioner · Medford, OR
NPI number
1568762011
Active
Practice location
1910 E Barnett Rd Ste 102
Medford, OR 97504-8672
Fax (866) 267-6644
Mailing address
3617 S Pacific Hwy
Medford, OR 97501-8957
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 201042847RN (OR) |
| Obstetrics & Gynecology Nurse Practitioner Primary | 363LX0001X | 201250116NP (OR) |
Obstetrics & Gynecology Nurse Practitioner: Definition to come...
Another provider at this address
Other obstetrics & gynecology nurse practitioner providers in Medford
About NPI 1568762011
Loretta Sandoval, RN, CNM's National Provider Identifier is 1568762011, issued on Nov 1, 2010. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Medford, OR. The record was last updated on Feb 20, 2025.