Individual provider · Type 1 NPI
Sandre Leona Crain, FNP-BC
Primary Care Nurse Practitioner · South Holland, IL
NPI number
1770093171
Active
Practice location
17066 S Park Ave
South Holland, IL 60473-3369
Fax (647) 799-2792
Mailing address
9718 S Halsted St
Chicago, IL 60628-1007
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209.016571 (IL) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 209.016571 (IL) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1770093171
Sandre Leona Crain, FNP-BC's National Provider Identifier is 1770093171, issued on Oct 11, 2017. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in South Holland, IL. The record was last updated on Feb 15, 2022.