Provider Demographics
NPI:1639229610
Name:KRON, SANDRA M (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:M
Last Name:KRON
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 HIGHLAND RD
Mailing Address - Street 2:
Mailing Address - City:GRANDVIEW
Mailing Address - State:WA
Mailing Address - Zip Code:98930-8910
Mailing Address - Country:US
Mailing Address - Phone:509-882-4848
Mailing Address - Fax:509-882-4858
Practice Address - Street 1:1614 E EDISON AVE
Practice Address - Street 2:SUITE A
Practice Address - City:SUNNYSIDE
Practice Address - State:WA
Practice Address - Zip Code:98944-1668
Practice Address - Country:US
Practice Address - Phone:509-839-2666
Practice Address - Fax:509-839-3962
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30003476363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9616897Medicaid
WA9616897Medicaid