Provider Demographics
NPI:1053422360
Name:LOEHNER, SANDRA MARY (FNP)
Entity type:Individual
Prefix:MS
First Name:SANDRA
Middle Name:MARY
Last Name:LOEHNER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:415 E CHAPEL ST
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93454-4517
Mailing Address - Country:US
Mailing Address - Phone:805-722-3100
Mailing Address - Fax:805-928-7671
Practice Address - Street 1:415 E CHAPEL ST
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93454-4517
Practice Address - Country:US
Practice Address - Phone:805-722-3100
Practice Address - Fax:805-928-7671
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2020-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
BJ040ZMedicare PIN
P52064Medicare UPIN