Provider Demographics
NPI:1497581847
Name:SANDER, NIKKI LEIGH
Entity type:Individual
Prefix:
First Name:NIKKI
Middle Name:LEIGH
Last Name:SANDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 VALLEY VIEW DR
Mailing Address - Street 2:
Mailing Address - City:BLUE GRASS
Mailing Address - State:IA
Mailing Address - Zip Code:52726-9427
Mailing Address - Country:US
Mailing Address - Phone:563-320-7319
Mailing Address - Fax:
Practice Address - Street 1:2 VALLEY VIEW DR
Practice Address - Street 2:
Practice Address - City:BLUE GRASS
Practice Address - State:IA
Practice Address - Zip Code:52726-9427
Practice Address - Country:US
Practice Address - Phone:563-320-7319
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-11
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula