Provider Demographics
NPI:1295070498
Name:EGGER, SANDRA L (RN)
Entity type:Individual
Prefix:MS
First Name:SANDRA
Middle Name:L
Last Name:EGGER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 141600
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99214-1600
Mailing Address - Country:US
Mailing Address - Phone:509-927-8285
Mailing Address - Fax:
Practice Address - Street 1:2510 N PINES RD
Practice Address - Street 2:SUITE 208
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99206-7636
Practice Address - Country:US
Practice Address - Phone:509-827-8285
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-29
Last Update Date:2012-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00105931163WC0400X
WA00042462171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No163WC0400XNursing Service ProvidersRegistered NurseCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL00105931OtherCOMMISSION FOR CASE MANAGER CERTIFICATION