Provider Demographics
NPI:1871250043
Name:URBINA, SANDRA DIANE (RN)
Entity Type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:DIANE
Last Name:URBINA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:SMITH COUNTY MEMORIAL HOSPITAL
Mailing Address - Street 2:921 EAST HWY 36
Mailing Address - City:P.O BOX 349
Mailing Address - State:KS
Mailing Address - Zip Code:66967
Mailing Address - Country:US
Mailing Address - Phone:178-528-2684
Mailing Address - Fax:785-282-6331
Practice Address - Street 1:SMITH COUNTY MEMORIAL HOSPITAL
Practice Address - Street 2:921 EAST HWY 36
Practice Address - City:P.O BOX 349
Practice Address - State:KS
Practice Address - Zip Code:66967
Practice Address - Country:US
Practice Address - Phone:785-282-6845
Practice Address - Fax:785-282-6331
Is Sole Proprietor?:No
Enumeration Date:2021-11-23
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE63535163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE63535OtherNURSING LICENSE