Sandy Gurule, LSW
Individual provider Active NPI Social Worker · Ignacio, CO
NPI 1194258608 · NPPES record last updated Apr 11, 2017
Key facts
- NPI
- 1194258608
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- LSW 00000335 (CO)
- Practice address
- 115 Cedar Street
Ignacio, CO 88137 - Phone
- (970) 563-9388
- NPI assigned
- Apr 11, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LSW 00000335 | CO | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ignacio Family Medicine, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LSW 00000335 | CO | Yes |
Addresses
Primary practice location
115 Cedar Street
Ignacio, CO 88137
Mailing address
3118 County Road 307
Durango, CO 81303-6881
Phone (970) 749-1744
Other providers in Ignacio, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.