| Sandra Y Suderman, ARNP | |
|
913 Sheidley Ave, Bonner Springs, KS 66012-9514 | |
| (913) 322-7222 | |
| (913) 322-7284 |
| Full Name | Sandra Y Suderman |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 913 Sheidley Ave, Bonner Springs, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679666077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 44574 (Kansas) | Primary |
| Entity Name | Prime Healthcare Physician Services - Providence Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356683213 PECOS PAC ID: 1052553906 Enrollment ID: O20130806000598 |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra Y Suderman, ARNP 913 Sheidley Ave, Bonner Springs, KS 66012-9514 Ph: (913) 322-7222 | Sandra Y Suderman, ARNP 913 Sheidley Ave, Bonner Springs, KS 66012-9514 Ph: (913) 322-7222 |
Patty L. Gerken, ANP-BC, AOCN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 115 E Spring Ave, Bonner Springs, KS 66012 Phone: 913-638-6768 | |
Mrs. Jamie Marie Magana, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16181 150th St, Bonner Springs, KS 66012 Phone: 620-704-2215 | |
Alexis Chaney, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 128 Oak St Ste C, Bonner Springs, KS 66012 Phone: 913-348-6280 |