MRS. MARY JOANNE VOLLMER-SANDHOLM (NPI# 1659575157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659575157 |
| Entity Type | Individual |
| Full Name | MRS. MARY JOANNE VOLLMER-SANDHOLM |
| Other Name | MRS. MARY JO SANDHOLM |
| Credential | MSN, P.N.P. |
| Practice Address |
Loma Linda University School of Nursing 11262 Campus St. Loma Linda CA 92350-0001 |
| Practice Telephone | 9095581000 |
| Mailing Telephone | 9095581000 |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
533452 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RN | 533452 | 01 |
| CA | NURSE PRACTITIONER CERT | 11930 | 01 |
| CA | FURNISHING | 11930 | 01 |
| Street Address |
LOMA LINDA UNIVERSITY SCHOOL OF NURSING 11262 CAMPUS ST. |
| City | LOMA LINDA |
| State | CA |
| Zip Code | 92350-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164059010 | Stephanie Abandy | Student in an Organized Health Care Education/Training Program | 11262 Campus Street - West Hall, West Hall, Loma Linda, CA 92350 | 2020-03-23 |
| 1275911844 | Rosemarie Florian | Internal Medicine | 11234 Anderson St Rm 1503, Loma Linda, CA 92350 | 2015-05-14 |
| 1235525403 | Diana Derosa Villarreal | Pediatrics | 11175 Campus St. Cp-a1111, Department of Pediatrics, Loma Linda, CA 92350 | 2015-04-14 |
| 1609212919 | Daniel Eldridge Smith | Surgery | 11175 Campus St # 21111, Loma Linda, CA 92350 | 2013-05-14 |
| 1992057269 | Hildemar Feliciano Dos Santos | Nutritionist | 25040 Stewart Street, Loma Linda, CA 92350 | 2012-10-10 |
| 1184910762 | Kristyn Anne Mannoia | Surgery | 11234 Anderson Ave Ste 2100, Loma Linda, CA 92350 | 2011-06-22 |
| 1760774947 | Loma Linda University | Special Hospital | 1234 Anderson Street, Gme Office Csp 21005, Loma Linda, CA 92350 | 2011-05-06 |
| 1144547977 | Andrei Radulescu | Surgery | 11175 Campus St Ste 21111, Loma Linda, CA 92350 | 2010-05-04 |
| 1619102845 | Wing Sze Esther Yung | Surgery | 11175 Campus Street #21111, Loma Linda Universiy Healthcare System, Loma Linda, CA 92350 | 2009-05-18 |
| 1679720734 | Ronald Lee Young | Dentist | 11092 Anderson Streeet, Llu School of Dentistry, Loma Linda, CA 92350 | 2008-08-20 |
| Find all providers in zip 92350 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659506368 | Julie Lynn Hill | Nurse Practitioner | 11234 Anderson St Ste 6700h, Loma Linda, CA 92354-2804 | 2009-05-26 |
| 1871005884 | Katie Michelle Thompson | Nurse Practitioner | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2017-10-31 |
| 1588180236 | Brianna Nicole Stewart | Nurse Practitioner | 11370 Anderson St Ste 2050, Loma Linda, CA 92354-3450 | 2017-08-15 |
| 1619419066 | Diana Can | Nurse Practitioner | 11370 Anderson St, Suite 2050, Loma Linda, CA 92354-3450 | 2016-11-15 |
| 1578986840 | Dorothy Dokko | Nurse Practitioner | 11234 Anderson St Rm 6700h, Loma Linda, CA 92354-2804 | 2014-01-22 |
| 1932412525 | Tracey S. Pae | Nurse Practitioner | 11370 Anderson St Ste 2100, Loma Linda, CA 92354-3450 | 2010-07-23 |
| 1821324765 | Samantha Jo Johnson | Nurse Practitioner | 11370 Anderson St, Suite 2050, Loma Linda, CA 92354-3450 | 2009-10-28 |
| 1538321500 | Cynthia Jeanne Guerra | Nurse Practitioner | 11234 Anderson St, Loma Linda, CA 92354 | 2008-06-30 |
| 1891992137 | Erin Leslie Moorcones | Nurse Practitioner | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2007-06-29 |
| 1205957412 | Barry G. Nieman | Nurse Practitioner | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2007-04-03 |
| Find all providers in LOMA LINDA | ||||
| City | LOMA LINDA |
| Zip Code | 92350 |
Please comment or provide details below to improve the information on MRS. MARY JOANNE VOLLMER-SANDHOLM.
| 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.