MRS. Sandra Shivamber, FNP

NPI #1265741292 in Lake Success, New York

Provider Information

NPI Number
1265741292
Entity Type
Individual
Name
MRS. Sandra Shivamber, FNP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Family
Credential
FNP
Enumeration Date
Sep 24, 2010
Last Updated
Sep 13, 2011

Practice Location

Address
1991 MARCUS AVE
Address 2
SUITE M107
ZIP Code
11042
Phone
(516) 222-2288

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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