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MS. SANDRA S NIENABER
NPI 1104015742
Nurse Practitioner - Family in Rockford, IL

Active since October 19, 2007
420 E STATE ST, WINNEBAGO COUNTY JAIL, ROCKFORD, IL 61104(815) 319-6634(815) 395-5644 Get Directions Write a Review

NPPES record last updated: October 19, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Sandra S Nienaber NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SANDRA S NIENABER (NPI 1104015742) is an individual family provider in Rockford, Illinois, licensed in Illinois (209005207) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1104015742
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. SANDRA S NIENABER
Location Address420 E STATE ST, WINNEBAGO COUNTY JAILRockford, IL 61104-1015
Mailing Address1601 Parkview Ave, S200Rockford, IL 61107-1822 · (815) 395-5851 · Fax (815) 395-5644
Phone(815) 319-6634
Fax(815) 395-5644
Sole ProprietorNo
Enumeration DateOctober 19, 2007
✔ NPI 1104015742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209005207
420 E STATE ST, Rockford, IL 61104
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Other Identifiers 1

Medicare PINK21095IL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sandra Nienaber's NPI number?

The NPI number for Sandra Nienaber is 1104015742. It was assigned to this individual provider in the NPPES registry on October 19, 2007.

Where is Sandra Nienaber located?

Sandra Nienaber practices at 420 E State St Winnebago County Jail, Rockford, IL 61104. The listed phone number is (815) 319-6634.

What is Sandra Nienaber's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Sandra Nienaber was last updated on October 19, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.