SANDRA J PACKARD NP
NPI 1922068857
Nurse Practitioner in Mondovi, WI

Q: What is Sandra Packard's NPI number?

The NPI number for Sandra Packard is 1922068857. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Q: What is Sandra Packard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Sandra Packard was last updated on April 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 24, 2006

700 BUFFALO ST, MONDOVI, WI 54755(715) 838-5222 Get Directions Write a Review

NPPES record last updated: April 30, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sandra J Packard Np NPPES

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

SANDRA J PACKARD NP (NPI 1922068857) is an individual nurse practitioner in Mondovi, Wisconsin, licensed in Wisconsin (97815) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1922068857

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSANDRA J PACKARDCredential: NP

Location Address700 BUFFALO STMondovi, WI 54755-1371

Mailing AddressPo Box 1510Eau Claire, WI 54702-1510 · (715) 838-5222

Phone(715) 838-5222

Sole ProprietorNo

Enumeration DateMarch 24, 2006

Last NPPES UpdateApril 30, 2009

✔ NPI 1922068857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WI · 97815

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

700 BUFFALO ST, Mondovi, WI 54755

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Other Identifiers 3

Medicaid43860100WI

Medicare UPINS53367

Medicare ID-Type Unspecified0299 20195WI

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION, INC.

Clinic/Center (Rural Health)