Provider Demographics
NPI:1669286878
Name:YOAKUM, SANDRA
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:
Last Name:YOAKUM
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 1:5330 LEXINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68504-3061
Mailing Address - Country:US
Mailing Address - Phone:402-464-3377
Mailing Address - Fax:
Practice Address - Street 1:3140 O ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-1522
Practice Address - Country:US
Practice Address - Phone:402-925-4414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-06
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider