Provider Demographics
NPI:1841672730
Name:MALANOSKI, SANDEE L (RNFA)
Entity type:Individual
Prefix:
First Name:SANDEE
Middle Name:L
Last Name:MALANOSKI
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15258 EAST DR
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77302-6606
Mailing Address - Country:US
Mailing Address - Phone:936-672-4936
Mailing Address - Fax:
Practice Address - Street 1:15258 EAST DR
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77302-6606
Practice Address - Country:US
Practice Address - Phone:936-672-4936
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-26
Last Update Date:2015-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX709953163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant