PHILIP LERORY SANDERS III (NPI# 1477109445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477109445 |
| Entity Type | Individual |
| Full Name | PHILIP LERORY SANDERS III |
| Credential | FNP-C |
| Practice Address |
3236 E Grand Ave Ste D Laramie WY 82070-5100 |
| Mailing Address |
404 Elm St Lafayette CO 80026-2571 |
| Practice Telephone | 3077608602 |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2019-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
44414 | WY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3236 E GRAND AVE STE D |
| City | LARAMIE |
| State | WY |
| Zip Code | 82070-5100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497184378 | John Jacobs IIi | Nurse Practitioner | 3236 E Grand Ave Ste D, Laramie, WY 82070-5100 | 2013-11-01 |
| 1982051850 | Chris Otto | Physician Assistant | 3236 E Grand Ave Ste D, Laramie, WY 82070-5100 | 2016-05-19 |
| 1174983118 | Grand Avenue Urgent Care, LLC | Clinic/Center | 3236 E Grand Ave Ste D, Laramie, WY 82070-5100 | 2016-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875164 | Roland Maldonado | Registered Nurse | 258 Nth Hayes Street, Laramie, WY 82070 | 2020-09-10 |
| 1528429917 | Spark | Community/Behavioral Health | 903 S 9th Street, Laramie, WY 82070 | 2016-03-11 |
| 1578968509 | Melissa Marie Allen | Speech-Language Pathologist | 1613 Clydesdale, Laramie, WY 82070 | 2014-11-04 |
| 1316362155 | Charles M. Alexander | Pharmacist | 3112 E. Grand Ave, Laramie, WY 82070 | 2014-03-04 |
| 1447685706 | Dale Warren Van Wig | Pharmacist | 544 N. Third St, Pharmacy, Laramie, WY 82070 | 2013-09-05 |
| 1558619973 | Sarah Marie Pence | Pharmacist | 4005 East Grand Ave, Laramie, WY 82070 | 2012-08-15 |
| 1437435567 | Stephanie Ingalls | Case Manager/Care Coordinator | 69 Osprey Rd., Laramie, WY 82070 | 2011-11-03 |
| 1457634040 | The Clinic for Mental Health and Wellness | Counselor | 504 South 4th Street, Laramie, WY 82070 | 2011-09-21 |
| 1316177371 | Patricia Ann Casey | Occupational Therapist | Laramie Care Center, 503 S. 18th St., Laramie, WY 82070 | 2009-07-23 |
| 1134322340 | Linda K Cross | Case Manager/Care Coordinator | 315 So 8th, Laramie, WY 82070 | 2007-06-06 |
| Find all providers in zip 82070 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457685521 | Jennifer Christine Oiler | Nurse Practitioner | 920 E Sheridan St Ste A, Laramie, WY 82070-3868 | 2009-09-23 |
| 1649407040 | Jesse Henry | Nurse Practitioner | 1252 N 22nd St Unit B, Laramie, WY 82072-5306 | 2009-06-12 |
| 1811033442 | Amy Margaret Robohm | Nurse Practitioner | 1000 E. University Avenue, Laramie, WY 82071 | 2007-01-30 |
| 1386725653 | Carla Jill Leinen | Nurse Practitioner | 504 E Lyons St, Laramie, WY 82072-2132 | 2006-10-17 |
| 1235210451 | Wendy Burleigh King | Nurse Practitioner | 2523 E Garfield St, Suite B, Laramie, WY 82070-4989 | 2006-10-17 |
| 1598855314 | Gloria Stoddard | Nurse Practitioner | 302 Dinwiddie Rd, Laramie, WY 82070-9768 | 2006-10-13 |
| 1457456212 | Sarah Kooienga | Nurse Practitioner | 1252 N 22nd St, Unit A, Laramie, WY 82072-5306 | 2006-09-14 |
| 1932204393 | Marcia Newell | Nurse Practitioner | 1252 N 22nd St, Suite B, Laramie, WY 82072-5306 | 2006-09-13 |
| 1124001144 | Mary Evelyn Burman | Nurse Practitioner | 611 S 2nd St, Laramie, WY 82070-3617 | 2005-11-23 |
| 1588665202 | Terese J Lund | Nurse Practitioner | 413 S 21st St, Laramie, WY 82070-4323 | 2005-08-03 |
| Find all providers in LARAMIE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.