Dr NICOLE SANDERSON is a female medical professional, specializing in Nurse Practitioner. She graduated in 2016.
LUTHERAN MEDICAL GROUP LLC
3534 BROOKLYN AVE
FORT WAYNE
IN
468091361
Tel: 2604322297
| Npi | 1013465152 |
| Pac Id | 6709165855 |
| Professional Enrollment Id | I20161114001908 |
| Last Name | SANDERSON |
| First Name | NICOLE |
| Middle Name | |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | LUTHERAN MEDICAL GROUP LLC |
| Group Practice Pac Id | 4981751617 |
| Number Of Group Practice Members | 227 |
| Line 1 Street Address | 3534 BROOKLYN AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 468091361 |
| Phone Number | 2604322297 |
| Hospital Affiliation Ccn 1 | 150045 |
| Hospital Affiliation Lbn 1 | DEKALB HEALTH |
| Hospital Affiliation Ccn 2 | 150150 |
| Hospital Affiliation Lbn 2 | DUPONT HOSPITAL LLC |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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