Provider Demographics
NPI:1437216033
Name:SYMES-GILBERT, SANDRA JEANNE (NP)
Entity Type:Individual
Prefix:MS
First Name:SANDRA
Middle Name:JEANNE
Last Name:SYMES-GILBERT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:SANDRA
Other - Middle Name:JEANNE
Other - Last Name:SYMES-GILBERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6055 W 46TH AVE
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-1811
Mailing Address - Country:US
Mailing Address - Phone:303-423-8017
Mailing Address - Fax:
Practice Address - Street 1:6055 W 46TH AVE
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033
Practice Address - Country:US
Practice Address - Phone:303-423-8017
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2019-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN.1650056363LP0200X
CORXN.0103442-NP363LP0200X
COAPN.0993337-NP363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP57526Medicare UPIN