Sandra Avitia, NP-C
Primary Care Nurse Practitioner · Saint Louis, MO
Practice location
3200 Chouteau AveSaint Louis, MO 63103-2910
- Phone
- (314) 977-1250
NPI record
- NPI
- 1871969105
- Entity type
- Individual (Type 1)
- Enumeration date
- August 21, 2015
- Last updated
- January 11, 2018
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X |
209013047 | IL |
| Family Nurse Practitioner | 363LF0000X |
2015026485 | MO |
| Family Nurse Practitioner | 363LF0000X |
209013047 | IL |
Mailing address
31 Peartree LnGlen Carbon, IL 62034-4312
About Sandra Avitia
Sandra Avitia, NP-C is a healthcare provider registered in the NPI registry with the primary taxonomy Primary Care Nurse Practitioner (code 363LP2300X). The practice location is 3200 Chouteau Ave, Saint Louis, MO 63103-2910. The NPI number 1871969105 was assigned on August 21, 2015 and the record was last updated on January 11, 2018.
Sandra Avitia lists 3 licenses in the registry: #209013047 (IL) for Primary Care Nurse Practitioner; #2015026485 (MO) for Family Nurse Practitioner; #209013047 (IL) for Family Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Sandra Avitia, NP-C?
The NPI number is 1871969105.
What is the phone number of Sandra Avitia?
The phone number listed for the practice location is (314) 977-1250.
Where is Sandra Avitia located?
3200 Chouteau Ave, Saint Louis, MO 63103-2910.
What is the taxonomy code for Sandra Avitia?
The primary taxonomy code is 363LP2300X – Primary Care Nurse Practitioner; 2 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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