Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SANDRE LEONA CRAIN, FNP-BC
Active Sole ProprietorMRS. SANDRE LEONA CRAIN, FNP-BC is a Primary Care Nurse Practitioner healthcare provider located in SOUTH HOLLAND, Illinois. NPI 1770093171 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · SOUTH HOLLAND, IL
Registration Details
- NPI Number
- 1770093171
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 11, 2017 (8.8122318983673 yrs)
- Last Updated
- Feb 15, 2022
- Licenses
-
209.016571 (IL)209.016571 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
17066 S PARK AVESOUTH HOLLAND, IL, 604733369Browse IL providers · Browse ZIP 60473
- Phone
- 7088820532
- Fax
- 6477992792
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
- Additional Specialty
- Primary Care Nurse Practitioner
Other Primary Care Nurse Practitioner Providers in SOUTH HOLLAND, IL
| Name | Credential | NPI |
|---|---|---|
| LA TONYA ANDERSON | APRN | 1710580618 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.