SANDRA LERDAL

PHOENIX, AZ
NPI1487312187
Former NameSANDRA WIPF
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: AZ  AG11210010)
Enumeration Date2021-11-30
Last Update Date2021-11-30
Business Address
SANDRA LERDAL AGNP
13236 N 26TH PL
PHOENIX, AZ 85032-5903
Phone number: 605-929-7253
Mailing Address
SANDRA LERDAL AGNP
7010 E ACOMA DR
SCOTTSDALE, AZ 85254-3553
Phone number: