Provider Demographics
NPI:1457077364
Name:AUCH, SANDRA KAY (LPN)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:KAY
Last Name:AUCH
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2519 W 8TH ST
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57104-5606
Mailing Address - Country:US
Mailing Address - Phone:605-332-3236
Mailing Address - Fax:605-334-5026
Practice Address - Street 1:2519 W 8TH ST
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57104-5606
Practice Address - Country:US
Practice Address - Phone:605-332-3236
Practice Address - Fax:605-334-5026
Is Sole Proprietor?:No
Enumeration Date:2022-10-13
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDP005959164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse